Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $889.17 / $5,045.00 / $6,915.00	Facility		$889.17	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $774.54 / $973.14 / $2,102.94	Professional		$774.54	$973.14	$2,102.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,082.33 / $3,143.25 / $6,147.04	Facility		$1,082.33	$3,143.25	$6,147.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $835.16 / $1,245.95 / $2,389.36	Professional		$835.16	$1,245.95	$2,389.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,689.14 / $1,833.32 / $2,815.46	Facility		$1,689.14	$1,833.32	$2,815.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $550.00 / $550.00	Facility		$550.00	$550.00	$550.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $965.97 / $1,447.58 / $2,635.99	Professional		$965.97	$1,447.58	$2,635.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $884.84 / $1,238.78 / $1,806.81	Professional		$884.84	$1,238.78	$1,806.81
United Facility/Professional Facility Modifier Low / Median / High Price $607.00 / $3,629.00 / $10,000.00	Facility		$607.00	$3,629.00	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $862.32 / $1,173.63 / $2,279.36	Professional		$862.32	$1,173.63	$2,279.36