Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $781.44 / $4,368.00 / $6,915.00	Facility		$781.44	$4,368.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $459.15 / $572.69 / $1,077.01	Professional		$459.15	$572.69	$1,077.01
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 $504.35 / $740.60 / $1,368.65	Professional		$504.35	$740.60	$1,368.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $915.18 / $1,111.07 / $1,511.37	Facility		$915.18	$1,111.07	$1,511.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $601.13 / $601.13 / $1,272.50	Facility		$601.13	$601.13	$1,272.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.37 / $797.38 / $1,347.60	Professional		$512.37	$797.38	$1,347.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $580.21 / $843.94 / $2,283.64	Professional		$580.21	$843.94	$2,283.64
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 $434.12 / $679.46 / $1,187.89	Professional		$434.12	$679.46	$1,187.89