Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $884.98 / $4,829.00 / $6,915.00	Facility		$884.98	$4,829.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $517.85 / $621.47 / $1,201.42	Professional		$517.85	$621.47	$1,201.42
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 $577.03 / $831.66 / $1,504.68	Professional		$577.03	$831.66	$1,504.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,008.60 / $1,220.96 / $1,660.86	Facility		$1,008.60	$1,220.96	$1,660.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $660.27 / $660.27 / $2,172.58	Facility		$660.27	$660.27	$2,172.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $592.74 / $889.56 / $1,469.72	Professional		$592.74	$889.56	$1,469.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $637.60 / $897.73 / $1,436.81	Professional		$637.60	$897.73	$1,436.81
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 $507.38 / $776.00 / $1,313.94	Professional		$507.38	$776.00	$1,313.94