Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $525.41 / $5,045.00 / $6,915.00	Facility		$525.41	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $291.32 / $365.63 / $656.93	Professional		$291.32	$365.63	$656.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,135.89 / $2,987.00 / $6,315.83	Facility		$1,135.89	$2,987.00	$6,315.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $294.74 / $412.64 / $771.79	Professional		$294.74	$412.64	$771.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $559.50 / $610.25 / $937.16	Facility		$559.50	$610.25	$937.16
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 $342.36 / $499.95 / $820.05	Professional		$342.36	$499.95	$820.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $293.10 / $381.03 / $667.80	Professional		$293.10	$381.03	$667.80
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 $311.52 / $451.85 / $718.12	Professional		$311.52	$451.85	$718.12