Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $291.45 / $3,360.00 / $6,915.00	Facility		$291.45	$3,360.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.69 / $555.60 / $1,224.19	Professional		$163.69	$555.60	$1,224.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $996.37 / $2,722.51 / $5,292.58	Facility		$996.37	$2,722.51	$5,292.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.56 / $630.96 / $1,560.62	Professional		$208.56	$630.96	$1,560.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $301.61 / $331.23 / $508.68	Facility		$301.61	$331.23	$508.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $745.68 / $745.68 / $745.68	Facility		$745.68	$745.68	$745.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $211.42 / $643.40 / $1,751.15	Professional		$211.42	$643.40	$1,751.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $181.69 / $771.18 / $1,403.02	Professional		$181.69	$771.18	$1,403.02
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 $760.52 / $1,132.38 / $1,905.31	Professional		$760.52	$1,132.38	$1,905.31