Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $657.85 / $4,368.00 / $6,915.00	Facility		$657.85	$4,368.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $318.73 / $396.46 / $974.73	Professional		$318.73	$396.46	$974.73
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 $354.38 / $552.53 / $982.23	Professional		$354.38	$552.53	$982.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $628.23 / $740.06 / $1,006.68	Facility		$628.23	$740.06	$1,006.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $405.65 / $405.65 / $4,830.16	Facility		$405.65	$405.65	$4,830.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $397.11 / $587.50 / $935.32	Professional		$397.11	$587.50	$935.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $386.45 / $581.87 / $1,259.79	Professional		$386.45	$581.87	$1,259.79
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 $324.22 / $536.86 / $852.09	Professional		$324.22	$536.86	$852.09