Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.73 / $5,045.00 / $6,915.00	Facility		$954.73	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $547.83 / $667.04 / $1,434.96	Professional		$547.83	$667.04	$1,434.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,206.01 / $5,435.54 / $12,227.65	Facility		$1,206.01	$5,435.54	$12,227.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $598.00 / $879.14 / $1,581.82	Professional		$598.00	$879.14	$1,581.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $926.73 / $926.73 / $926.73	Facility		$926.73	$926.73	$926.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $694.13 / $694.13 / $4,830.16	Facility		$694.13	$694.13	$4,830.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $630.47 / $950.74 / $1,550.01	Professional		$630.47	$950.74	$1,550.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $670.40 / $1,008.93 / $1,510.74	Professional		$670.40	$1,008.93	$1,510.74
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 $534.67 / $857.80 / $1,381.30	Professional		$534.67	$857.80	$1,381.30