Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $442.85 / $2,800.00 / $6,915.00	Facility		$442.85	$2,800.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $357.01 / $442.85 / $1,044.98	Professional		$357.01	$442.85	$1,044.98
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 $381.42 / $584.99 / $1,126.15	Professional		$381.42	$584.99	$1,126.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $654.32 / $719.87 / $1,105.50	Facility		$654.32	$719.87	$1,105.50
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 $420.00 / $658.49 / $1,087.29	Professional		$420.00	$658.49	$1,087.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $394.16 / $514.13 / $1,350.89	Professional		$394.16	$514.13	$1,350.89
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 $444.19 / $659.27 / $1,126.43	Professional		$444.19	$659.27	$1,126.43