Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $607.76 / $4,368.00 / $6,915.00	Facility		$607.76	$4,368.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $394.66 / $499.48 / $825.10	Professional		$394.66	$499.48	$825.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $746.52 / $2,292.94 / $5,084.83	Facility		$746.52	$2,292.94	$5,084.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $388.63 / $536.28 / $998.90	Professional		$388.63	$536.28	$998.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $686.01 / $836.69 / $74,999.25	Facility		$686.01	$836.69	$74,999.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $551.00 / $1,119.77 / $1,410.08	Facility		$551.00	$1,119.77	$1,410.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $387.55 / $571.85 / $1,051.66	Professional		$387.55	$571.85	$1,051.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $436.92 / $648.00 / $3,214.19	Professional		$436.92	$648.00	$3,214.19
United Facility/Professional Facility Modifier Low / Median / High Price $1,214.00 / $4,500.00 / $6,995.00	Facility		$1,214.00	$4,500.00	$6,995.00
United Facility/Professional Professional Modifier Low / Median / High Price $387.48 / $519.29 / $905.19	Professional		$387.48	$519.29	$905.19