Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $430.94 / $2,800.00 / $6,915.00	Facility		$430.94	$2,800.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $348.59 / $430.94 / $1,019.48	Professional		$348.59	$430.94	$1,019.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $787.78 / $5,799.60 / $13,137.87	Facility		$787.78	$5,799.60	$13,137.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $372.24 / $574.92 / $1,098.67	Professional		$372.24	$574.92	$1,098.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $638.73 / $702.65 / $1,079.06	Facility		$638.73	$702.65	$1,079.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,037.66 / $6,037.66 / $6,037.66	Facility		$6,037.66	$6,037.66	$6,037.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $410.61 / $655.04 / $1,073.88	Professional		$410.61	$655.04	$1,073.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $384.78 / $501.89 / $1,431.77	Professional		$384.78	$501.89	$1,431.77
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 $435.51 / $645.61 / $1,100.70	Professional		$435.51	$645.61	$1,100.70