Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $939.99 / $5,045.00 / $6,915.00	Facility		$939.99	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $562.79 / $673.18 / $1,305.33	Professional		$562.79	$673.18	$1,305.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,082.02 / $2,986.70 / $6,315.83	Facility		$1,082.02	$2,986.70	$6,315.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $602.52 / $881.42 / $1,628.88	Professional		$602.52	$881.42	$1,628.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,092.69 / $1,285.52 / $1,798.59	Facility		$1,092.69	$1,285.52	$1,798.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.96 / $714.96 / $2,172.58	Facility		$714.96	$714.96	$2,172.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $637.87 / $966.57 / $1,592.72	Professional		$637.87	$966.57	$1,592.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $690.47 / $1,041.05 / $1,555.96	Professional		$690.47	$1,041.05	$1,555.96
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 $549.02 / $833.67 / $1,422.39	Professional		$549.02	$833.67	$1,422.39