Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $657.87 / $3,391.00 / $6,915.00	Facility		$657.87	$3,391.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $483.81 / $656.21 / $2,016.32	Professional		$483.81	$656.21	$2,016.32
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 $488.32 / $782.49 / $1,741.49	Professional		$488.32	$782.49	$1,741.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,370.92 / $3,370.92 / $3,370.92	Facility		$3,370.92	$3,370.92	$3,370.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $661.80 / $661.80 / $1,798.63	Facility		$661.80	$661.80	$1,798.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $510.32 / $916.54 / $2,100.09	Professional		$510.32	$916.54	$2,100.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $671.93 / $934.86 / $3,624.77	Professional		$671.93	$934.86	$3,624.77
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 $513.83 / $1,057.89 / $2,793.05	Professional		$513.83	$1,057.89	$2,793.05