Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $815.45 / $4,368.00 / $6,915.00	Facility		$815.45	$4,368.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $459.45 / $555.89 / $1,124.73	Professional		$459.45	$555.89	$1,124.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $2,795.56 / $6,315.83	Facility		$964.00	$2,795.56	$6,315.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $496.01 / $737.24 / $1,315.56	Professional		$496.01	$737.24	$1,315.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $818.30 / $818.30 / $818.30	Facility		$818.30	$818.30	$818.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $576.10 / $576.10 / $2,172.58	Facility		$576.10	$576.10	$2,172.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $536.96 / $804.27 / $1,309.36	Professional		$536.96	$804.27	$1,309.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $556.17 / $798.45 / $1,253.33	Professional		$556.17	$798.45	$1,253.33
United Facility/Professional Facility Modifier Low / Median / High Price $1,075.00 / $4,826.00 / $7,889.00	Facility		$1,075.00	$4,826.00	$7,889.00
United Facility/Professional Professional Modifier Low / Median / High Price $448.18 / $694.30 / $1,148.79	Professional		$448.18	$694.30	$1,148.79