Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $329.69 / $4,590.00 / $6,915.00	Facility		$329.69	$4,590.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $293.98 / $469.79 / $654.24	Professional		$293.98	$469.79	$654.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $746.52 / $2,292.94 / $5,240.56	Facility		$746.52	$2,292.94	$5,240.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $284.54 / $389.22 / $715.11	Professional		$284.54	$389.22	$715.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $489.68 / $600.71 / $74,999.25	Facility		$489.68	$600.71	$74,999.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $886.00 / $1,119.77 / $1,410.08	Facility		$886.00	$1,119.77	$1,410.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $299.89 / $508.73 / $1,053.82	Professional		$299.89	$508.73	$1,053.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $327.95 / $563.58 / $2,284.23	Professional		$327.95	$563.58	$2,284.23
United Facility/Professional Facility Modifier Low / Median / High Price $1,180.00 / $4,581.00 / $7,647.00	Facility		$1,180.00	$4,581.00	$7,647.00
United Facility/Professional Professional Modifier Low / Median / High Price $439.30 / $565.70 / $982.03	Professional		$439.30	$565.70	$982.03