Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $357.50 / $2,987.00 / $6,915.00	Facility		$357.50	$2,987.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $227.29 / $432.77 / $2,893.26	Professional		$227.29	$432.77	$2,893.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $762.43 / $5,625.09 / $35,850.44	Facility		$762.43	$5,625.09	$35,850.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.25 / $551.07 / $1,175.97	Professional		$208.25	$551.07	$1,175.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $310.01 / $310.01 / $310.01	Facility		$310.01	$310.01	$310.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $770.04 / $6,918.00 / $10,047.00	Facility		$770.04	$6,918.00	$10,047.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.54 / $471.19 / $5,436.89	Professional		$213.54	$471.19	$5,436.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $293.77 / $866.31 / $6,325.31	Professional		$293.77	$866.31	$6,325.31
United Facility/Professional Facility Modifier Low / Median / High Price $1,998.00 / $9,193.00 / $40,000.00	Facility		$1,998.00	$9,193.00	$40,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $220.62 / $1,763.88 / $6,420.00	Professional		$220.62	$1,763.88	$6,420.00