Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $800.70 / $4,765.01 / $6,915.00	Facility		$800.70	$4,765.01	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $441.80 / $556.66 / $1,304.08	Professional		$441.80	$556.66	$1,304.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,078.17 / $2,753.31 / $5,240.56	Facility		$1,078.17	$2,753.31	$5,240.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $446.42 / $629.17 / $1,176.47	Professional		$446.42	$629.17	$1,176.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $852.18 / $926.63 / $1,423.04	Facility		$852.18	$926.63	$1,423.04
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 $511.57 / $757.04 / $1,278.59	Professional		$511.57	$757.04	$1,278.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $446.42 / $580.35 / $1,768.72	Professional		$446.42	$580.35	$1,768.72
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 $471.24 / $663.90 / $1,095.00	Professional		$471.24	$663.90	$1,095.00