Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $646.34 / $4,467.00 / $6,915.00	Facility		$646.34	$4,467.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.71 / $524.65 / $1,159.77	Professional		$426.71	$524.65	$1,159.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $2,354.21 / $5,240.56	Facility		$964.00	$2,354.21	$5,240.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $444.79 / $616.88 / $1,116.16	Professional		$444.79	$616.88	$1,116.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $860.91 / $914.82 / $1,404.90	Facility		$860.91	$914.82	$1,404.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,761.45 / $1,761.45 / $1,761.45	Facility		$1,761.45	$1,761.45	$1,761.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.37 / $688.23 / $1,185.48	Professional		$457.37	$688.23	$1,185.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $454.92 / $591.40 / $768.81	Professional		$454.92	$591.40	$768.81
United Facility/Professional Facility Modifier Low / Median / High Price $1,200.00 / $4,826.00 / $7,889.00	Facility		$1,200.00	$4,826.00	$7,889.00
United Facility/Professional Professional Modifier Low / Median / High Price $439.54 / $589.91 / $1,099.85	Professional		$439.54	$589.91	$1,099.85