Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $943.20 / $4,592.00 / $6,915.00	Facility		$943.20	$4,592.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $583.17 / $755.96 / $1,473.51	Professional		$583.17	$755.96	$1,473.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,376.26 / $4,412.76 / $8,702.00	Facility		$1,376.26	$4,412.76	$8,702.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $628.58 / $975.43 / $1,830.96	Professional		$628.58	$975.43	$1,830.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $919.52 / $919.52 / $919.52	Facility		$919.52	$919.52	$919.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $781.03 / $2,500.00	Facility		$500.00	$781.03	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $636.23 / $1,052.69 / $1,759.10	Professional		$636.23	$1,052.69	$1,759.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $782.66 / $1,073.49 / $1,968.19	Professional		$782.66	$1,073.49	$1,968.19
United Facility/Professional Facility Modifier Low / Median / High Price $1,738.00 / $7,794.00 / $14,048.00	Facility		$1,738.00	$7,794.00	$14,048.00
United Facility/Professional Professional Modifier Low / Median / High Price $568.45 / $867.15 / $1,592.95	Professional		$568.45	$867.15	$1,592.95