Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $834.94 / $3,295.00 / $6,915.00	Facility		$834.94	$3,295.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $607.11 / $883.94 / $1,520.49	Professional		$607.11	$883.94	$1,520.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $869.00 / $2,292.94 / $5,240.56	Facility		$869.00	$2,292.94	$5,240.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $627.42 / $1,022.41 / $1,903.77	Professional		$627.42	$1,022.41	$1,903.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,258.65 / $1,480.77 / $2,145.69	Facility		$1,258.65	$1,480.77	$2,145.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $904.41 / $1,243.82	Facility		$860.00	$904.41	$1,243.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $614.95 / $1,041.73 / $1,990.08	Professional		$614.95	$1,041.73	$1,990.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $682.73 / $1,078.60 / $2,267.13	Professional		$682.73	$1,078.60	$2,267.13
United Facility/Professional Facility Modifier Low / Median / High Price $625.00 / $3,218.00 / $5,272.00	Facility		$625.00	$3,218.00	$5,272.00
United Facility/Professional Professional Modifier Low / Median / High Price $655.91 / $961.19 / $2,059.77	Professional		$655.91	$961.19	$2,059.77