Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $388.72 / $5,045.00 / $6,915.00	Facility		$388.72	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $330.45 / $409.25 / $1,236.17	Professional		$330.45	$409.25	$1,236.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,298.47 / $4,492.39 / $10,698.90	Facility		$1,298.47	$4,492.39	$10,698.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $374.38 / $625.60 / $1,119.22	Professional		$374.38	$625.60	$1,119.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $592.19 / $696.69 / $806.96	Facility		$592.19	$696.69	$806.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $449.25 / $798.71 / $1,248.13	Professional		$449.25	$798.71	$1,248.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $358.18 / $455.87 / $3,252.33	Professional		$358.18	$455.87	$3,252.33
United Facility/Professional Facility Modifier Low / Median / High Price $1,036.00 / $3,629.00 / $10,000.00	Facility		$1,036.00	$3,629.00	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $378.64 / $661.27 / $1,030.00	Professional		$378.64	$661.27	$1,030.00