Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $828.99 / $3,391.00 / $6,915.00	Facility		$828.99	$3,391.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $511.35 / $630.17 / $1,156.92	Professional		$511.35	$630.17	$1,156.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $734.14 / $2,080.80 / $3,851.83	Facility		$734.14	$2,080.80	$3,851.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $516.67 / $764.69 / $1,477.69	Professional		$516.67	$764.69	$1,477.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $981.12 / $1,080.99 / $1,660.10	Facility		$981.12	$1,080.99	$1,660.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $399.08 / $399.08 / $399.08	Facility		$399.08	$399.08	$399.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $614.01 / $889.94 / $1,484.63	Professional		$614.01	$889.94	$1,484.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $513.95 / $668.14 / $1,434.95	Professional		$513.95	$668.14	$1,434.95
United Facility/Professional Facility Modifier Low / Median / High Price $424.00 / $2,360.00 / $4,066.00	Facility		$424.00	$2,360.00	$4,066.00
United Facility/Professional Professional Modifier Low / Median / High Price $553.16 / $795.13 / $1,373.30	Professional		$553.16	$795.13	$1,373.30