Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $557.03 / $3,391.00 / $6,915.00	Facility		$557.03	$3,391.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $342.18 / $421.36 / $745.46	Professional		$342.18	$421.36	$745.46
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 $346.36 / $529.54 / $997.52	Professional		$346.36	$529.54	$997.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $656.78 / $722.84 / $1,110.08	Facility		$656.78	$722.84	$1,110.08
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 $411.01 / $596.95 / $993.27	Professional		$411.01	$596.95	$993.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $344.05 / $447.27 / $860.25	Professional		$344.05	$447.27	$860.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,369.00 / $4,594.00 / $7,889.00	Facility		$1,369.00	$4,594.00	$7,889.00
United Facility/Professional Professional Modifier Low / Median / High Price $371.06 / $540.62 / $920.61	Professional		$371.06	$540.62	$920.61