Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $443.24 / $3,391.00 / $6,915.00	Facility		$443.24	$3,391.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $237.63 / $296.92 / $737.55	Professional		$237.63	$296.92	$737.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $635.46 / $2,067.41 / $3,851.83	Facility		$635.46	$2,067.41	$3,851.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $277.24 / $444.25 / $866.24	Professional		$277.24	$444.25	$866.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $903.67 / $903.67 / $903.67	Facility		$903.67	$903.67	$903.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $374.98 / $374.98 / $657.54	Facility		$374.98	$374.98	$657.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $294.77 / $473.55 / $913.44	Professional		$294.77	$473.55	$913.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $382.01 / $531.49 / $1,272.61	Professional		$382.01	$531.49	$1,272.61
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 $238.53 / $437.44 / $864.15	Professional		$238.53	$437.44	$864.15