Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $448.26 / $2,800.00 / $6,915.00	Facility		$448.26	$2,800.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $306.66 / $454.19 / $912.69	Professional		$306.66	$454.19	$912.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $776.14 / $2,795.56 / $6,315.83	Facility		$776.14	$2,795.56	$6,315.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $326.10 / $456.54 / $825.03	Professional		$326.10	$456.54	$825.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $612.16 / $650.49 / $998.97	Facility		$612.16	$650.49	$998.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,518.23 / $1,518.23 / $1,518.23	Facility		$1,518.23	$1,518.23	$1,518.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $352.75 / $614.61 / $1,075.91	Professional		$352.75	$614.61	$1,075.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $321.54 / $522.19 / $765.99	Professional		$321.54	$522.19	$765.99
United Facility/Professional Facility Modifier Low / Median / High Price $1,162.00 / $3,218.00 / $5,352.00	Facility		$1,162.00	$3,218.00	$5,352.00
United Facility/Professional Professional Modifier Low / Median / High Price $459.79 / $596.59 / $997.36	Professional		$459.79	$596.59	$997.36