Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $872.85 / $5,045.00 / $6,915.00	Facility		$872.85	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $512.79 / $624.23 / $1,181.79	Professional		$512.79	$624.23	$1,181.79
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 $558.60 / $821.91 / $1,485.72	Professional		$558.60	$821.91	$1,485.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $844.17 / $844.17 / $844.17	Facility		$844.17	$844.17	$844.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $650.60 / $650.60 / $2,172.58	Facility		$650.60	$650.60	$2,172.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $577.14 / $880.07 / $1,449.68	Professional		$577.14	$880.07	$1,449.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $628.08 / $945.38 / $1,415.35	Professional		$628.08	$945.38	$1,415.35
United Facility/Professional Facility Modifier Low / Median / High Price $1,162.00 / $3,218.00 / $5,352.00	Facility		$1,162.00	$3,218.00	$5,352.00
United Facility/Professional Professional Modifier Low / Median / High Price $499.72 / $778.49 / $1,297.38	Professional		$499.72	$778.49	$1,297.38