Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $984.00 / $5,045.00 / $6,915.00	Facility		$984.00	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $555.16 / $666.44 / $1,318.36	Professional		$555.16	$666.44	$1,318.36
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 $617.32 / $897.65 / $1,602.64	Professional		$617.32	$897.65	$1,602.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,083.06 / $1,300.33 / $1,768.85	Facility		$1,083.06	$1,300.33	$1,768.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $701.19 / $701.19 / $2,172.58	Facility		$701.19	$701.19	$2,172.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $636.77 / $973.29 / $1,577.87	Professional		$636.77	$973.29	$1,577.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $679.05 / $971.31 / $1,530.23	Professional		$679.05	$971.31	$1,530.23
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 $547.80 / $888.37 / $1,399.83	Professional		$547.80	$888.37	$1,399.83