Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $947.11 / $3,391.00 / $6,915.00	Facility		$947.11	$3,391.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $584.76 / $720.83 / $1,273.35	Professional		$584.76	$720.83	$1,273.35
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 $590.11 / $868.41 / $1,646.42	Professional		$590.11	$868.41	$1,646.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,118.81 / $1,233.14 / $1,893.75	Facility		$1,118.81	$1,233.14	$1,893.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,185.25 / $3,185.25 / $3,185.25	Facility		$3,185.25	$3,185.25	$3,185.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $701.33 / $1,015.54 / $1,696.58	Professional		$701.33	$1,015.54	$1,696.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $586.09 / $761.92 / $1,382.55	Professional		$586.09	$761.92	$1,382.55
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 $632.14 / $896.81 / $1,509.80	Professional		$632.14	$896.81	$1,509.80