Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $847.80 / $6,915.00 / $14,497.00	Facility		$847.80	$6,915.00	$14,497.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $417.85 / $523.23 / $994.75	Professional		$417.85	$523.23	$994.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,839.72 / $5,141.76 / $13,343.88	Facility		$1,839.72	$5,141.76	$13,343.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $423.91 / $597.22 / $1,121.04	Professional		$423.91	$597.22	$1,121.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $809.22 / $879.44 / $1,350.57	Facility		$809.22	$879.44	$1,350.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,613.12 / $3,613.12 / $31,200.00	Facility		$3,613.12	$3,613.12	$31,200.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $482.97 / $716.49 / $1,191.67	Professional		$482.97	$716.49	$1,191.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $423.91 / $551.08 / $1,233.82	Professional		$423.91	$551.08	$1,233.82
United Facility/Professional Facility Modifier Low / Median / High Price $1,998.00 / $9,172.00 / $18,613.00	Facility		$1,998.00	$9,172.00	$18,613.00
United Facility/Professional Professional Modifier Low / Median / High Price $446.00 / $623.70 / $1,039.36	Professional		$446.00	$623.70	$1,039.36