Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $838.00 / $4,368.00 / $6,915.00	Facility		$838.00	$4,368.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $499.99 / $609.21 / $1,177.15	Professional		$499.99	$609.21	$1,177.15
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 $549.29 / $801.33 / $1,478.85	Professional		$549.29	$801.33	$1,478.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $989.09 / $1,198.65 / $1,630.50	Facility		$989.09	$1,198.65	$1,630.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $648.37 / $648.37 / $2,802.42	Facility		$648.37	$648.37	$2,802.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $575.76 / $856.77 / $1,440.93	Professional		$575.76	$856.77	$1,440.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $625.94 / $880.90 / $1,410.53	Professional		$625.94	$880.90	$1,410.53
United Facility/Professional Facility Modifier Low / Median / High Price $1,519.00 / $6,351.00 / $8,836.00	Facility		$1,519.00	$6,351.00	$8,836.00
United Facility/Professional Professional Modifier Low / Median / High Price $496.32 / $747.58 / $1,281.53	Professional		$496.32	$747.58	$1,281.53