Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $649.61 / $5,045.00 / $6,915.00	Facility		$649.61	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $401.88 / $506.76 / $961.09	Professional		$401.88	$506.76	$961.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $878.93 / $2,600.00 / $5,240.56	Facility		$878.93	$2,600.00	$5,240.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $450.04 / $669.34 / $1,228.71	Professional		$450.04	$669.34	$1,228.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $824.18 / $1,001.97 / $1,362.98	Facility		$824.18	$1,001.97	$1,362.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $542.35 / $542.35 / $1,349.77	Facility		$542.35	$542.35	$1,349.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $454.92 / $668.78 / $1,198.08	Professional		$454.92	$668.78	$1,198.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $523.24 / $788.90 / $1,179.09	Professional		$523.24	$788.90	$1,179.09
United Facility/Professional Facility Modifier Low / Median / High Price $625.00 / $3,218.00 / $5,272.00	Facility		$625.00	$3,218.00	$5,272.00
United Facility/Professional Professional Modifier Low / Median / High Price $408.72 / $598.62 / $1,080.14	Professional		$408.72	$598.62	$1,080.14