Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $878.83 / $3,391.00 / $6,915.00	Facility		$878.83	$3,391.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $542.34 / $668.34 / $1,389.95	Professional		$542.34	$668.34	$1,389.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $787.78 / $3,851.83 / $8,545.91	Facility		$787.78	$3,851.83	$8,545.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $547.40 / $810.84 / $1,565.56	Professional		$547.40	$810.84	$1,565.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,039.74 / $1,145.82 / $1,759.65	Facility		$1,039.74	$1,145.82	$1,759.65
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 $651.53 / $943.89 / $1,574.22	Professional		$651.53	$943.89	$1,574.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $544.66 / $708.06 / $1,724.02	Professional		$544.66	$708.06	$1,724.02
United Facility/Professional Facility Modifier Low / Median / High Price $607.00 / $3,218.00 / $5,272.00	Facility		$607.00	$3,218.00	$5,272.00
United Facility/Professional Professional Modifier Low / Median / High Price $586.71 / $857.76 / $1,454.95	Professional		$586.71	$857.76	$1,454.95