Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $818.98 / $3,391.00 / $6,915.00	Facility		$818.98	$3,391.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $500.82 / $677.64 / $999.57	Professional		$500.82	$677.64	$999.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $606.69 / $2,262.42 / $5,084.83	Facility		$606.69	$2,262.42	$5,084.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $545.77 / $785.61 / $1,464.91	Professional		$545.77	$785.61	$1,464.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $999.15 / $1,175.48 / $1,436.57	Facility		$999.15	$1,175.48	$1,436.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $411.00 / $1,325.29 / $1,668.88	Facility		$411.00	$1,325.29	$1,668.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.84 / $807.59 / $1,509.42	Professional		$537.84	$807.59	$1,509.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $637.66 / $927.50 / $4,695.03	Professional		$637.66	$927.50	$4,695.03
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 $556.14 / $709.90 / $1,297.58	Professional		$556.14	$709.90	$1,297.58