Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $438.31 / $2,800.00 / $6,915.00	Facility		$438.31	$2,800.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.91 / $438.31 / $1,038.85	Professional		$354.91	$438.31	$1,038.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $787.78 / $3,640.00 / $8,545.91	Facility		$787.78	$3,640.00	$8,545.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $381.02 / $586.41 / $1,119.56	Professional		$381.02	$586.41	$1,119.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $651.23 / $716.43 / $1,100.24	Facility		$651.23	$716.43	$1,100.24
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 $423.72 / $666.73 / $1,095.03	Professional		$423.72	$666.73	$1,095.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $392.31 / $511.71 / $1,462.76	Professional		$392.31	$511.71	$1,462.76
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 $442.72 / $686.22 / $1,120.50	Professional		$442.72	$686.22	$1,120.50