Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $984.00 / $5,063.00 / $12,390.00	Facility		$984.00	$5,063.00	$12,390.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $558.54 / $680.36 / $1,477.32	Professional		$558.54	$680.36	$1,477.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,206.01 / $5,634.28 / $21,112.96	Facility		$1,206.01	$5,634.28	$21,112.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $622.54 / $896.73 / $1,615.36	Professional		$622.54	$896.73	$1,615.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,084.33 / $1,311.36 / $1,783.83	Facility		$1,084.33	$1,311.36	$1,783.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $712.39 / $712.39 / $712.39	Professional		$712.39	$712.39	$712.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $684.79 / $962.22 / $1,543.17	Professional		$684.79	$962.22	$1,543.17
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 $545.73 / $816.92 / $1,410.59	Professional		$545.73	$816.92	$1,410.59