Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $751.84 / $5,405.00 / $10,572.00	Facility		$751.84	$5,405.00	$10,572.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $425.63 / $538.41 / $1,074.31	Professional		$425.63	$538.41	$1,074.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,082.02 / $3,851.84 / $13,523.26	Facility		$1,082.02	$3,851.84	$13,523.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $473.25 / $715.17 / $1,279.34	Professional		$473.25	$715.17	$1,279.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $881.30 / $1,073.78 / $1,460.66	Facility		$881.30	$1,073.78	$1,460.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $581.41 / $5,845.00 / $10,047.00	Facility		$581.41	$5,845.00	$10,047.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $481.28 / $739.88 / $1,295.20	Professional		$481.28	$739.88	$1,295.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $560.74 / $764.64 / $1,263.58	Professional		$560.74	$764.64	$1,263.58
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 $432.17 / $658.99 / $1,154.13	Professional		$432.17	$658.99	$1,154.13