Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $400.44 / $2,800.00 / $6,915.00	Facility		$400.44	$2,800.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $232.44 / $425.64 / $804.92	Professional		$232.44	$425.64	$804.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $635.46 / $1,949.16 / $3,851.83	Facility		$635.46	$1,949.16	$3,851.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $240.31 / $373.58 / $735.38	Professional		$240.31	$373.58	$735.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $698.30 / $698.30 / $698.30	Facility		$698.30	$698.30	$698.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $417.02 / $417.02 / $657.54	Facility		$417.02	$417.02	$657.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $274.18 / $503.25 / $996.57	Professional		$274.18	$503.25	$996.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $299.44 / $507.00 / $1,213.84	Professional		$299.44	$507.00	$1,213.84
United Facility/Professional Facility Modifier Low / Median / High Price $426.00 / $2,360.00 / $4,066.00	Facility		$426.00	$2,360.00	$4,066.00
United Facility/Professional Professional Modifier Low / Median / High Price $383.85 / $589.28 / $1,118.30	Professional		$383.85	$589.28	$1,118.30