Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $727.17 / $3,391.00 / $6,915.00	Facility		$727.17	$3,391.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $448.32 / $552.24 / $1,147.25	Professional		$448.32	$552.24	$1,147.25
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 $453.92 / $682.57 / $1,307.29	Professional		$453.92	$682.57	$1,307.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $860.76 / $948.09 / $1,455.99	Facility		$860.76	$948.09	$1,455.99
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 $538.65 / $780.87 / $1,301.57	Professional		$538.65	$780.87	$1,301.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $450.90 / $586.16 / $1,422.98	Professional		$450.90	$586.16	$1,422.98
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 $485.37 / $715.87 / $1,206.49	Professional		$485.37	$715.87	$1,206.49