Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.96 / $4,014.00 / $6,915.00	Facility		$407.96	$4,014.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $231.41 / $275.43 / $556.74	Professional		$231.41	$275.43	$556.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $869.00 / $2,292.94 / $5,240.56	Facility		$869.00	$2,292.94	$5,240.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $252.00 / $370.90 / $670.89	Professional		$252.00	$370.90	$670.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $395.20 / $395.20 / $395.20	Facility		$395.20	$395.20	$395.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $293.49 / $293.49 / $1,153.31	Facility		$293.49	$293.49	$1,153.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $264.92 / $400.68 / $650.35	Professional		$264.92	$400.68	$650.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $282.54 / $403.39 / $636.69	Professional		$282.54	$403.39	$636.69
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 $227.31 / $347.19 / $585.84	Professional		$227.31	$347.19	$585.84