Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $579.24 / $3,391.00 / $6,915.00	Facility		$579.24	$3,391.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $356.20 / $438.60 / $965.87	Professional		$356.20	$438.60	$965.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $775.91 / $2,322.50 / $5,240.56	Facility		$775.91	$2,322.50	$5,240.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $360.60 / $532.44 / $1,029.54	Professional		$360.60	$532.44	$1,029.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $684.24 / $753.15 / $1,156.61	Facility		$684.24	$753.15	$1,156.61
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 $427.32 / $629.11 / $1,033.73	Professional		$427.32	$629.11	$1,033.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $358.44 / $465.97 / $1,198.00	Professional		$358.44	$465.97	$1,198.00
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 $385.48 / $563.36 / $958.45	Professional		$385.48	$563.36	$958.45