Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $838.00 / $4,368.00 / $6,915.00	Facility		$838.00	$4,368.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $527.41 / $678.73 / $1,212.48	Professional		$527.41	$678.73	$1,212.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $869.00 / $2,292.94 / $5,240.56	Facility		$869.00	$2,292.94	$5,240.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $561.54 / $865.14 / $1,649.88	Professional		$561.54	$865.14	$1,649.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $761.83 / $761.83 / $761.83	Facility		$761.83	$761.83	$761.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $704.17 / $704.17 / $1,272.50	Facility		$704.17	$704.17	$1,272.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $574.04 / $922.57 / $1,658.07	Professional		$574.04	$922.57	$1,658.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $717.54 / $958.91 / $1,804.43	Professional		$717.54	$958.91	$1,804.43
United Facility/Professional Facility Modifier Low / Median / High Price $1,075.00 / $4,826.00 / $7,889.00	Facility		$1,075.00	$4,826.00	$7,889.00
United Facility/Professional Professional Modifier Low / Median / High Price $507.82 / $753.38 / $1,579.95	Professional		$507.82	$753.38	$1,579.95