Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $749.84 / $4,841.00 / $6,915.00	Facility		$749.84	$4,841.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $419.09 / $524.72 / $924.87	Professional		$419.09	$524.72	$924.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,155.80 / $3,116.30 / $6,315.83	Facility		$1,155.80	$3,116.30	$6,315.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $424.55 / $598.15 / $1,122.77	Professional		$424.55	$598.15	$1,122.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $810.45 / $880.59 / $1,352.34	Facility		$810.45	$880.59	$1,352.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,005.76 / $4,005.76 / $4,005.76	Facility		$4,005.76	$4,005.76	$4,005.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $484.82 / $719.83 / $1,196.47	Professional		$484.82	$719.83	$1,196.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $424.55 / $551.91 / $1,147.14	Professional		$424.55	$551.91	$1,147.14
United Facility/Professional Facility Modifier Low / Median / High Price $1,519.00 / $6,351.00 / $8,836.00	Facility		$1,519.00	$6,351.00	$8,836.00
United Facility/Professional Professional Modifier Low / Median / High Price $447.44 / $632.77 / $1,040.97	Professional		$447.44	$632.77	$1,040.97