Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $745.31 / $3,295.00 / $6,915.00	Facility		$745.31	$3,295.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $557.19 / $710.44 / $1,336.20	Professional		$557.19	$710.44	$1,336.20
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 $539.80 / $809.50 / $1,486.02	Professional		$539.80	$809.50	$1,486.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $837.59 / $837.59 / $837.59	Facility		$837.59	$837.59	$837.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $904.41 / $959.91	Facility		$860.00	$904.41	$959.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $578.67 / $939.54 / $1,652.08	Professional		$578.67	$939.54	$1,652.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $685.57 / $949.25 / $1,707.19	Professional		$685.57	$949.25	$1,707.19
United Facility/Professional Facility Modifier Low / Median / High Price $1,162.00 / $3,100.00 / $5,352.00	Facility		$1,162.00	$3,100.00	$5,352.00
United Facility/Professional Professional Modifier Low / Median / High Price $586.19 / $868.69 / $1,571.13	Professional		$586.19	$868.69	$1,571.13