Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $742.10 / $4,829.00 / $6,915.00	Facility		$742.10	$4,829.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $499.62 / $596.86 / $1,163.76	Professional		$499.62	$596.86	$1,163.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,039.14 / $2,706.44 / $5,240.56	Facility		$1,039.14	$2,706.44	$5,240.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $527.98 / $791.85 / $1,453.61	Professional		$527.98	$791.85	$1,453.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $977.27 / $1,161.54 / $1,619.63	Facility		$977.27	$1,161.54	$1,619.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $644.64 / $644.64 / $1,200.00	Facility		$644.64	$644.64	$1,200.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $517.78 / $833.05 / $1,416.83	Professional		$517.78	$833.05	$1,416.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $621.76 / $843.23 / $1,401.12	Professional		$621.76	$843.23	$1,401.12
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 $486.21 / $720.27 / $1,277.86	Professional		$486.21	$720.27	$1,277.86