Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $737.44 / $3,391.00 / $6,915.00	Facility		$737.44	$3,391.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $454.39 / $559.65 / $1,151.22	Professional		$454.39	$559.65	$1,151.22
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 $460.18 / $693.48 / $1,325.31	Professional		$460.18	$693.48	$1,325.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $872.64 / $961.26 / $1,476.21	Facility		$872.64	$961.26	$1,476.21
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 $544.14 / $791.31 / $1,319.88	Professional		$544.14	$791.31	$1,319.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $457.13 / $594.27 / $1,427.91	Professional		$457.13	$594.27	$1,427.91
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 $491.86 / $726.62 / $1,223.11	Professional		$491.86	$726.62	$1,223.11