Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $4,368.00 / $6,915.00	Facility		$875.00	$4,368.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $511.57 / $615.19 / $1,189.04	Professional		$511.57	$615.19	$1,189.04
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 $547.00 / $814.92 / $1,493.43	Professional		$547.00	$814.92	$1,493.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $999.69 / $1,176.10 / $1,647.54	Facility		$999.69	$1,176.10	$1,647.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $655.05 / $655.05 / $2,172.58	Facility		$655.05	$655.05	$2,172.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $575.36 / $882.69 / $1,455.78	Professional		$575.36	$882.69	$1,455.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $632.48 / $871.04 / $1,425.27	Professional		$632.48	$871.04	$1,425.27
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 $502.17 / $778.11 / $1,294.91	Professional		$502.17	$778.11	$1,294.91