Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $442.98 / $3,295.00 / $6,915.00	Facility		$442.98	$3,295.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $307.39 / $440.42 / $710.48	Professional		$307.39	$440.42	$710.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $707.23 / $2,080.80 / $3,851.83	Facility		$707.23	$2,080.80	$3,851.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $335.79 / $464.80 / $855.62	Professional		$335.79	$464.80	$855.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $588.98 / $717.33 / $74,999.25	Facility		$588.98	$717.33	$74,999.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $297.63 / $372.03 / $551.00	Facility		$297.63	$372.03	$551.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $330.59 / $499.46 / $925.31	Professional		$330.59	$499.46	$925.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $391.62 / $539.00 / $2,766.60	Professional		$391.62	$539.00	$2,766.60
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 $358.79 / $478.38 / $888.66	Professional		$358.79	$478.38	$888.66