Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $449.50 / $3,391.00 / $6,915.00	Facility		$449.50	$3,391.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $241.64 / $307.45 / $784.84	Professional		$241.64	$307.45	$784.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $741.08 / $2,292.94 / $5,240.56	Facility		$741.08	$2,292.94	$5,240.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $252.12 / $389.96 / $774.70	Professional		$252.12	$389.96	$774.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,056.83 / $1,056.83 / $1,056.83	Facility		$1,056.83	$1,056.83	$1,056.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $293.24 / $293.24 / $974.44	Facility		$293.24	$293.24	$974.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $303.45 / $463.44 / $856.72	Professional		$303.45	$463.44	$856.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $290.27 / $422.71 / $1,390.00	Professional		$290.27	$422.71	$1,390.00
United Facility/Professional Facility Modifier Low / Median / High Price $625.00 / $3,218.00 / $5,272.00	Facility		$625.00	$3,218.00	$5,272.00
United Facility/Professional Professional Modifier Low / Median / High Price $240.29 / $464.26 / $875.66	Professional		$240.29	$464.26	$875.66