Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $916.70 / $5,405.00 / $10,572.00	Facility		$916.70	$5,405.00	$10,572.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $477.81 / $582.24 / $1,091.88	Professional		$477.81	$582.24	$1,091.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,082.02 / $3,763.81 / $13,523.26	Facility		$1,082.02	$3,763.81	$13,523.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $533.83 / $768.44 / $1,386.64	Professional		$533.83	$768.44	$1,386.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $928.49 / $1,124.49 / $1,529.64	Facility		$928.49	$1,124.49	$1,529.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $608.20 / $5,845.00 / $10,047.00	Facility		$608.20	$5,845.00	$10,047.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $546.87 / $827.26 / $1,351.25	Professional		$546.87	$827.26	$1,351.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $587.21 / $830.50 / $1,323.26	Professional		$587.21	$830.50	$1,323.26
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 $467.19 / $713.62 / $1,210.85	Professional		$467.19	$713.62	$1,210.85