Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $999.17 / $4,368.00 / $6,915.00	Facility		$999.17	$4,368.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $559.72 / $711.95 / $1,458.98	Professional		$559.72	$711.95	$1,458.98
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 $645.97 / $928.91 / $1,678.10	Professional		$645.97	$928.91	$1,678.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,153.08 / $1,392.81 / $1,894.64	Facility		$1,153.08	$1,392.81	$1,894.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $752.89 / $752.89 / $2,172.58	Facility		$752.89	$752.89	$2,172.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $658.65 / $1,016.40 / $1,682.88	Professional		$658.65	$1,016.40	$1,682.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $727.33 / $1,031.63 / $1,750.29	Professional		$727.33	$1,031.63	$1,750.29
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 $580.58 / $901.81 / $1,645.82	Professional		$580.58	$901.81	$1,645.82