Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $582.74 / $5,045.00 / $6,915.00	Facility		$582.74	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $330.21 / $406.35 / $1,013.34	Professional		$330.21	$406.35	$1,013.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $992.53 / $2,628.21 / $5,240.56	Facility		$992.53	$2,628.21	$5,240.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $334.74 / $516.25 / $957.34	Professional		$334.74	$516.25	$957.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $636.24 / $699.68 / $1,074.51	Facility		$636.24	$699.68	$1,074.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,090.96 / $6,918.00 / $9,852.00	Facility		$2,090.96	$6,918.00	$9,852.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $393.76 / $584.37 / $1,053.41	Professional		$393.76	$584.37	$1,053.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $333.29 / $433.28 / $1,847.08	Professional		$333.29	$433.28	$1,847.08
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 $358.07 / $554.84 / $865.74	Professional		$358.07	$554.84	$865.74