Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $604.79 / $4,353.00 / $6,915.00	Facility		$604.79	$4,353.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $347.95 / $438.37 / $798.10	Professional		$347.95	$438.37	$798.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,034.84 / $3,640.00 / $8,545.91	Facility		$1,034.84	$3,640.00	$8,545.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $355.41 / $499.05 / $918.13	Professional		$355.41	$499.05	$918.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $678.45 / $734.85 / $1,128.53	Facility		$678.45	$734.85	$1,128.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,308.16 / $4,308.16 / $4,308.16	Facility		$4,308.16	$4,308.16	$4,308.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $402.43 / $566.96 / $1,004.91	Professional		$402.43	$566.96	$1,004.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $355.41 / $462.03 / $680.91	Professional		$355.41	$462.03	$680.91
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 $370.99 / $519.45 / $868.51	Professional		$370.99	$519.45	$868.51