Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $367.39 / $3,391.00 / $6,915.00	Facility		$367.39	$3,391.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.39 / $256.27 / $419.46	Professional		$204.39	$256.27	$419.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $776.14 / $2,795.56 / $6,315.83	Facility		$776.14	$2,795.56	$6,315.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $207.16 / $297.12 / $571.83	Professional		$207.16	$297.12	$571.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $394.43 / $428.67 / $658.32	Facility		$394.43	$428.67	$658.32
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 $241.73 / $351.00 / $583.79	Professional		$241.73	$351.00	$583.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $206.62 / $268.61 / $467.44	Professional		$206.62	$268.61	$467.44
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 $218.49 / $310.04 / $504.74	Professional		$218.49	$310.04	$504.74