Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $957.02 / $5,063.00 / $7,421.00	Facility		$957.02	$5,063.00	$7,421.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $475.23 / $596.15 / $1,321.70	Professional		$475.23	$596.15	$1,321.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,063.95 / $4,096.78 / $21,657.35	Facility		$1,063.95	$4,096.78	$21,657.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $528.97 / $825.68 / $1,438.45	Professional		$528.97	$825.68	$1,438.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $941.96 / $1,104.59 / $1,502.58	Facility		$941.96	$1,104.59	$1,502.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $607.54 / $2,500.00	Facility		$500.00	$607.54	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $593.40 / $878.04 / $1,389.09	Professional		$593.40	$878.04	$1,389.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $576.83 / $868.46 / $1,664.71	Professional		$576.83	$868.46	$1,664.71
United Facility/Professional Facility Modifier Low / Median / High Price $1,998.00 / $9,172.00 / $18,613.00	Facility		$1,998.00	$9,172.00	$18,613.00
United Facility/Professional Professional Modifier Low / Median / High Price $503.59 / $817.84 / $1,305.26	Professional		$503.59	$817.84	$1,305.26