Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $666.46 / $4,467.00 / $6,915.00	Facility		$666.46	$4,467.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $461.32 / $546.05 / $1,212.64	Professional		$461.32	$546.05	$1,212.64
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 $462.55 / $629.40 / $1,135.77	Professional		$462.55	$629.40	$1,135.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $877.50 / $932.45 / $1,431.96	Facility		$877.50	$932.45	$1,431.96
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 $464.46 / $737.29 / $1,203.19	Professional		$464.46	$737.29	$1,203.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $464.26 / $603.54 / $1,208.31	Professional		$464.26	$603.54	$1,208.31
United Facility/Professional Facility Modifier Low / Median / High Price $1,369.00 / $4,594.00 / $7,889.00	Facility		$1,369.00	$4,594.00	$7,889.00
United Facility/Professional Professional Modifier Low / Median / High Price $446.26 / $624.90 / $1,173.98	Professional		$446.26	$624.90	$1,173.98