Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $721.50 / $3,391.00 / $6,915.00	Facility		$721.50	$3,391.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $410.67 / $515.08 / $871.84	Professional		$410.67	$515.08	$871.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $775.91 / $2,476.23 / $5,240.56	Facility		$775.91	$2,476.23	$5,240.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $416.39 / $586.57 / $1,090.81	Professional		$416.39	$586.57	$1,090.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $794.87 / $863.30 / $1,325.76	Facility		$794.87	$863.30	$1,325.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,212.51 / $1,212.51 / $1,212.51	Facility		$1,212.51	$1,212.51	$1,212.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $477.68 / $704.75 / $1,172.40	Professional		$477.68	$704.75	$1,172.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $416.39 / $541.30 / $1,030.91	Professional		$416.39	$541.30	$1,030.91
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 $438.06 / $623.51 / $1,020.82	Professional		$438.06	$623.51	$1,020.82