Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $819.32 / $4,368.00 / $6,915.00	Facility		$819.32	$4,368.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $497.57 / $609.51 / $1,139.85	Professional		$497.57	$609.51	$1,139.85
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 $544.00 / $799.24 / $1,477.04	Professional		$544.00	$799.24	$1,477.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $987.96 / $1,179.39 / $1,628.66	Facility		$987.96	$1,179.39	$1,628.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $647.62 / $647.62 / $1,272.50	Facility		$647.62	$647.62	$1,272.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $539.28 / $855.57 / $1,460.46	Professional		$539.28	$855.57	$1,460.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $625.23 / $909.42 / $1,451.99	Professional		$625.23	$909.42	$1,451.99
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 $492.16 / $727.27 / $1,289.80	Professional		$492.16	$727.27	$1,289.80