Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $631.75 / $1,225.50 / $3,011.50	Facility		$631.75	$1,225.50	$3,011.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $631.75 / $826.50 / $912.00	Professional		$631.75	$826.50	$912.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $630.79 / $950.00 / $2,894.27	Facility		$630.79	$950.00	$2,894.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $304.00 / $380.00 / $1,502.62	Professional		$304.00	$380.00	$1,502.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $950.00 / $1,377.50 / $2,041.83	Facility		$950.00	$1,377.50	$2,041.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,419.26 / $2,090.00 / $2,928.91	Facility		$1,419.26	$2,090.00	$2,928.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $555.75 / $5,346.95 / $5,346.95	Professional		$555.75	$5,346.95	$5,346.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $855.00 / $1,697.04 / $7,405.75	Professional		$855.00	$1,697.04	$7,405.75
United Facility/Professional Professional Modifier Low / Median / High Price $399.00 / $570.00 / $1,662.98	Professional		$399.00	$570.00	$1,662.98