Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $711.20 / $5,063.00 / $6,915.00	Facility		$711.20	$5,063.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $397.17 / $500.60 / $897.49	Professional		$397.17	$500.60	$897.49
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 $404.68 / $568.86 / $1,067.79	Professional		$404.68	$568.86	$1,067.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $771.17 / $836.31 / $1,284.33	Facility		$771.17	$836.31	$1,284.33
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 $463.03 / $680.56 / $1,139.68	Professional		$463.03	$680.56	$1,139.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $403.97 / $525.16 / $1,026.09	Professional		$403.97	$525.16	$1,026.09
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 $423.63 / $605.79 / $990.00	Professional		$423.63	$605.79	$990.00