Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $881.01 / $3,391.00 / $6,915.00	Facility		$881.01	$3,391.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $543.73 / $670.00 / $1,212.06	Professional		$543.73	$670.00	$1,212.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $775.91 / $2,476.23 / $5,240.56	Facility		$775.91	$2,476.23	$5,240.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $549.08 / $812.82 / $1,561.35	Professional		$549.08	$812.82	$1,561.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,042.22 / $1,148.55 / $1,763.85	Facility		$1,042.22	$1,148.55	$1,763.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,090.96 / $2,090.96 / $2,090.96	Facility		$2,090.96	$2,090.96	$2,090.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $653.11 / $946.21 / $1,578.07	Professional		$653.11	$946.21	$1,578.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $545.96 / $709.75 / $1,503.36	Professional		$545.96	$709.75	$1,503.36
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 $588.15 / $838.68 / $1,399.12	Professional		$588.15	$838.68	$1,399.12