Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $663.00 / $4,368.00 / $6,915.00	Facility		$663.00	$4,368.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $392.47 / $487.97 / $936.22	Professional		$392.47	$487.97	$936.22
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 $431.33 / $644.71 / $1,200.36	Professional		$431.33	$644.71	$1,200.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $795.09 / $967.01 / $1,315.41	Facility		$795.09	$967.01	$1,315.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $523.39 / $523.39 / $2,172.58	Facility		$523.39	$523.39	$2,172.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $451.14 / $693.26 / $1,153.95	Professional		$451.14	$693.26	$1,153.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $504.98 / $688.61 / $1,137.95	Professional		$504.98	$688.61	$1,137.95
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 $382.44 / $591.33 / $1,040.41	Professional		$382.44	$591.33	$1,040.41