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 $686.61 / $825.10 / $1,076.58	Professional		$686.61	$825.10	$1,076.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $746.52 / $2,724.84 / $6,271.28	Facility		$746.52	$2,724.84	$6,271.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $572.62 / $856.37 / $1,676.86	Professional		$572.62	$856.37	$1,676.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,139.15 / $1,408.56 / $74,999.25	Facility		$1,139.15	$1,408.56	$74,999.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $551.00 / $1,732.09 / $2,181.15	Facility		$551.00	$1,732.09	$2,181.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $578.20 / $842.75 / $1,692.80	Professional		$578.20	$842.75	$1,692.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $735.56 / $1,069.90 / $5,387.77	Professional		$735.56	$1,069.90	$5,387.77
United Facility/Professional Facility Modifier Low / Median / High Price $990.00 / $6,000.00 / $8,554.00	Facility		$990.00	$6,000.00	$8,554.00
United Facility/Professional Professional Modifier Low / Median / High Price $574.57 / $812.46 / $1,609.26	Professional		$574.57	$812.46	$1,609.26