Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $942.19 / $4,368.00 / $6,915.00	Facility		$942.19	$4,368.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $531.79 / $635.99 / $1,233.08	Professional		$531.79	$635.99	$1,233.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $2,795.56 / $6,315.83	Facility		$964.00	$2,795.56	$6,315.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $566.37 / $856.64 / $1,604.72	Professional		$566.37	$856.64	$1,604.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,030.79 / $1,247.19 / $1,696.55	Facility		$1,030.79	$1,247.19	$1,696.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $674.41 / $674.41 / $2,753.69	Facility		$674.41	$674.41	$2,753.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $602.39 / $925.47 / $1,504.65	Professional		$602.39	$925.47	$1,504.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $651.29 / $892.00 / $1,467.69	Professional		$651.29	$892.00	$1,467.69
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 $519.35 / $800.83 / $1,365.34	Professional		$519.35	$800.83	$1,365.34