Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $599.46 / $2,987.00 / $6,915.00	Facility		$599.46	$2,987.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $459.65 / $599.46 / $923.47	Professional		$459.65	$599.46	$923.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $606.69 / $2,085.16 / $3,851.83	Facility		$606.69	$2,085.16	$3,851.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $459.57 / $625.24 / $1,165.86	Professional		$459.57	$625.24	$1,165.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $804.87 / $979.86 / $74,999.25	Facility		$804.87	$979.86	$74,999.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $297.63 / $372.03 / $411.00	Facility		$297.63	$372.03	$411.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $438.53 / $667.87 / $1,243.88	Professional		$438.53	$667.87	$1,243.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $534.95 / $736.00 / $3,742.65	Professional		$534.95	$736.00	$3,742.65
United Facility/Professional Facility Modifier Low / Median / High Price $410.00 / $2,300.00 / $4,066.00	Facility		$410.00	$2,300.00	$4,066.00
United Facility/Professional Professional Modifier Low / Median / High Price $486.93 / $649.24 / $1,160.20	Professional		$486.93	$649.24	$1,160.20