Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $799.25 / $5,045.00 / $6,915.00	Facility		$799.25	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $474.03 / $599.85 / $1,117.50	Professional		$474.03	$599.85	$1,117.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,082.02 / $3,088.55 / $6,315.83	Facility		$1,082.02	$3,088.55	$6,315.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $532.22 / $786.84 / $1,451.48	Professional		$532.22	$786.84	$1,451.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $973.73 / $1,173.96 / $1,604.61	Facility		$973.73	$1,173.96	$1,604.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $637.95 / $637.95 / $2,172.58	Facility		$637.95	$637.95	$2,172.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $540.67 / $822.27 / $1,418.16	Professional		$540.67	$822.27	$1,418.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $616.00 / $846.70 / $1,388.12	Professional		$616.00	$846.70	$1,388.12
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 $477.46 / $727.83 / $1,269.76	Professional		$477.46	$727.83	$1,269.76