Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $844.06 / $5,045.00 / $6,915.00	Facility		$844.06	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.00 / $596.23 / $1,296.41	Professional		$489.00	$596.23	$1,296.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $822.79 / $2,260.19 / $3,862.88	Facility		$822.79	$2,260.19	$3,862.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $520.73 / $787.12 / $1,415.38	Professional		$520.73	$787.12	$1,415.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $803.18 / $803.18 / $803.18	Facility		$803.18	$803.18	$803.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $519.50 / $620.84 / $1,000.00	Facility		$519.50	$620.84	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $557.20 / $853.47 / $1,384.34	Professional		$557.20	$853.47	$1,384.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $599.69 / $850.04 / $1,351.37	Professional		$599.69	$850.04	$1,351.37
United Facility/Professional Facility Modifier Low / Median / High Price $426.00 / $2,360.00 / $4,066.00	Facility		$426.00	$2,360.00	$4,066.00
United Facility/Professional Professional Modifier Low / Median / High Price $478.55 / $744.79 / $1,297.60	Professional		$478.55	$744.79	$1,297.60