Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $728.48 / $5,045.00 / $6,915.00	Facility		$728.48	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $633.79 / $728.48 / $1,378.10	Professional		$633.79	$728.48	$1,378.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,206.01 / $3,514.57 / $6,339.18	Facility		$1,206.01	$3,514.57	$6,339.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $616.45 / $925.68 / $1,740.72	Professional		$616.45	$925.68	$1,740.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,007.46 / $1,185.24 / $1,386.09	Facility		$1,007.46	$1,185.24	$1,386.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $691.47 / $1,089.01 / $1,763.81	Professional		$691.47	$1,089.01	$1,763.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $615.25 / $783.05 / $1,645.44	Professional		$615.25	$783.05	$1,645.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,519.00 / $6,689.00 / $8,836.00	Facility		$1,519.00	$6,689.00	$8,836.00
United Facility/Professional Professional Modifier Low / Median / High Price $667.29 / $887.12 / $1,637.80	Professional		$667.29	$887.12	$1,637.80