Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $677.84 / $5,063.00 / $7,421.00	Facility		$677.84	$5,063.00	$7,421.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $450.45 / $565.11 / $1,068.43	Professional		$450.45	$565.11	$1,068.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,082.02 / $2,986.70 / $6,315.83	Facility		$1,082.02	$2,986.70	$6,315.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $486.43 / $724.35 / $1,312.55	Professional		$486.43	$724.35	$1,312.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $568.65 / $568.65 / $568.65	Facility		$568.65	$568.65	$568.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $613.78 / $613.78 / $2,172.58	Facility		$613.78	$613.78	$2,172.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $473.25 / $706.06 / $1,342.37	Professional		$473.25	$706.06	$1,342.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $597.09 / $814.22 / $1,345.52	Professional		$597.09	$814.22	$1,345.52
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 $432.42 / $640.23 / $1,222.46	Professional		$432.42	$640.23	$1,222.46