Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.00 / $3,460.00 / $6,915.00	Facility		$1,202.00	$3,460.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $519.83 / $571.52 / $632.72	Professional		$519.83	$571.52	$632.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $617.41 / $634.35 / $926.12	Professional		$617.41	$634.35	$926.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,094.46 / $1,412.30 / $74,999.25	Facility		$1,094.46	$1,412.30	$74,999.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $297.63 / $372.03 / $411.00	Facility		$297.63	$372.03	$411.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $540.82 / $540.82 / $540.82	Professional		$540.82	$540.82	$540.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $707.47 / $707.47 / $3,019.94	Professional		$707.47	$707.47	$3,019.94
United Facility/Professional Facility Modifier Low / Median / High Price $410.00 / $2,300.00 / $4,066.00	Facility		$410.00	$2,300.00	$4,066.00
United Facility/Professional Professional Modifier Low / Median / High Price $529.14 / $833.25 / $1,344.43	Professional		$529.14	$833.25	$1,344.43