Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $699.24 / $4,908.00 / $6,915.00	Facility		$699.24	$4,908.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $404.82 / $484.29 / $956.33	Professional		$404.82	$484.29	$956.33
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 $453.59 / $676.20 / $1,208.44	Professional		$453.59	$676.20	$1,208.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $786.75 / $955.46 / $1,299.71	Facility		$786.75	$955.46	$1,299.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $517.42 / $517.42 / $2,172.58	Facility		$517.42	$517.42	$2,172.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $481.03 / $714.78 / $1,142.92	Professional		$481.03	$714.78	$1,142.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $498.95 / $758.06 / $1,124.36	Professional		$498.95	$758.06	$1,124.36
United Facility/Professional Facility Modifier Low / Median / High Price $1,075.00 / $4,826.00 / $7,889.00	Facility		$1,075.00	$4,826.00	$7,889.00
United Facility/Professional Professional Modifier Low / Median / High Price $393.10 / $640.84 / $1,027.96	Professional		$393.10	$640.84	$1,027.96