Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $476.52 / $3,460.00 / $6,915.00	Facility		$476.52	$3,460.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $296.42 / $461.81 / $864.72	Professional		$296.42	$461.81	$864.72
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 $307.66 / $455.01 / $825.74	Professional		$307.66	$455.01	$825.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $624.52 / $624.52 / $624.52	Facility		$624.52	$624.52	$624.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $530.53 / $530.53 / $1,153.31	Facility		$530.53	$530.53	$1,153.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $344.69 / $562.16 / $1,015.31	Professional		$344.69	$562.16	$1,015.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $371.05 / $543.71 / $1,118.22	Professional		$371.05	$543.71	$1,118.22
United Facility/Professional Facility Modifier Low / Median / High Price $1,075.00 / $4,826.00 / $7,889.00	Facility		$1,075.00	$4,826.00	$7,889.00
United Facility/Professional Professional Modifier Low / Median / High Price $404.31 / $602.48 / $1,029.18	Professional		$404.31	$602.48	$1,029.18