Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.24 / $4,467.00 / $6,915.00	Facility		$758.24	$4,467.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $502.04 / $596.82 / $1,377.43	Professional		$502.04	$596.82	$1,377.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,034.84 / $3,640.00 / $8,545.91	Facility		$1,034.84	$3,640.00	$8,545.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $508.90 / $694.54 / $1,234.69	Professional		$508.90	$694.54	$1,234.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $960.99 / $1,021.17 / $1,568.22	Facility		$960.99	$1,021.17	$1,568.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,685.16 / $3,685.16 / $3,685.16	Facility		$3,685.16	$3,685.16	$3,685.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $517.38 / $821.02 / $1,338.86	Professional		$517.38	$821.02	$1,338.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $505.67 / $657.37 / $1,780.26	Professional		$505.67	$657.37	$1,780.26
United Facility/Professional Facility Modifier Low / Median / High Price $1,738.00 / $7,794.00 / $14,048.00	Facility		$1,738.00	$7,794.00	$14,048.00
United Facility/Professional Professional Modifier Low / Median / High Price $470.87 / $670.85 / $1,276.23	Professional		$470.87	$670.85	$1,276.23