Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $631.75 / $1,749.95 / $3,011.50	Facility		$631.75	$1,749.95	$3,011.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $570.00 / $750.50 / $902.50	Professional		$570.00	$750.50	$902.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $578.69 / $950.00 / $2,894.27	Facility		$578.69	$950.00	$2,894.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $252.19 / $336.26 / $1,482.57	Professional		$252.19	$336.26	$1,482.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $653.60 / $950.00 / $1,520.00	Facility		$653.60	$950.00	$1,520.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,235.00 / $2,090.00 / $2,636.01	Facility		$1,235.00	$2,090.00	$2,636.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,091.56 / $1,157.64 / $1,447.05	Professional		$1,091.56	$1,157.64	$1,447.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,045.00 / $1,092.50 / $1,235.00	Professional		$1,045.00	$1,092.50	$1,235.00
United Facility/Professional Professional Modifier Low / Median / High Price $399.00 / $570.00 / $950.00	Professional		$399.00	$570.00	$950.00