Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $625.35 / $3,295.00 / $6,915.00	Facility		$625.35	$3,295.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $409.43 / $555.66 / $885.25	Professional		$409.43	$555.66	$885.25
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 $395.66 / $533.10 / $994.06	Professional		$395.66	$533.10	$994.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $685.67 / $835.43 / $74,999.25	Facility		$685.67	$835.43	$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 $397.59 / $643.04 / $1,251.40	Professional		$397.59	$643.04	$1,251.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $456.10 / $675.32 / $3,184.24	Professional		$456.10	$675.32	$3,184.24
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 $510.01 / $647.98 / $1,156.67	Professional		$510.01	$647.98	$1,156.67