Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $511.14 / $5,045.00 / $6,915.00	Facility		$511.14	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $274.95 / $363.88 / $803.72	Professional		$274.95	$363.88	$803.72
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 $334.40 / $475.69 / $878.86	Professional		$334.40	$475.69	$878.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $638.36 / $686.97 / $1,055.00	Facility		$638.36	$686.97	$1,055.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,114.90 / $2,114.90 / $2,114.90	Facility		$2,114.90	$2,114.90	$2,114.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $342.70 / $552.66 / $904.99	Professional		$342.70	$552.66	$904.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $334.40 / $434.72 / $899.66	Professional		$334.40	$434.72	$899.66
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 $332.76 / $444.30 / $743.31	Professional		$332.76	$444.30	$743.31