Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $598.72 / $4,592.00 / $6,915.00	Facility		$598.72	$4,592.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $429.56 / $615.02 / $1,369.89	Professional		$429.56	$615.02	$1,369.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $992.53 / $2,628.21 / $5,240.56	Facility		$992.53	$2,628.21	$5,240.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $514.98 / $793.96 / $1,389.94	Professional		$514.98	$793.96	$1,389.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $887.75 / $952.88 / $1,463.34	Facility		$887.75	$952.88	$1,463.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,761.45 / $1,761.45 / $1,761.45	Facility		$1,761.45	$1,761.45	$1,761.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $526.55 / $909.65 / $1,494.43	Professional		$526.55	$909.65	$1,494.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $465.05 / $697.58 / $1,260.00	Professional		$465.05	$697.58	$1,260.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,200.00 / $4,826.00 / $7,889.00	Facility		$1,200.00	$4,826.00	$7,889.00
United Facility/Professional Professional Modifier Low / Median / High Price $606.67 / $817.00 / $1,386.87	Professional		$606.67	$817.00	$1,386.87