Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $911.23 / $3,391.00 / $6,915.00	Facility		$911.23	$3,391.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $502.46 / $589.97 / $1,524.59	Professional		$502.46	$589.97	$1,524.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $775.91 / $2,322.50 / $5,240.56	Facility		$775.91	$2,322.50	$5,240.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $532.96 / $764.12 / $1,380.88	Professional		$532.96	$764.12	$1,380.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,013.07 / $1,076.51 / $1,653.20	Facility		$1,013.07	$1,076.51	$1,653.20
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 $561.67 / $885.88 / $1,439.71	Professional		$561.67	$885.88	$1,439.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $532.96 / $692.85 / $2,068.88	Professional		$532.96	$692.85	$2,068.88
United Facility/Professional Facility Modifier Low / Median / High Price $1,738.00 / $7,794.00 / $14,048.00	Facility		$1,738.00	$7,794.00	$14,048.00
United Facility/Professional Professional Modifier Low / Median / High Price $550.17 / $752.09 / $1,256.55	Professional		$550.17	$752.09	$1,256.55