Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $735.25 / $1,226.74 / $1,816.33	Facility		$735.25	$1,226.74	$1,816.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $735.25 / $894.58 / $2,072.98	Professional		$735.25	$894.58	$2,072.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $2,634.62 / $5,292.58	Facility		$964.00	$2,634.62	$5,292.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $703.61 / $1,167.99 / $1,973.44	Professional		$703.61	$1,167.99	$1,973.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,577.85 / $1,577.85 / $1,577.85	Facility		$1,577.85	$1,577.85	$1,577.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $533.13 / $1,228.44 / $2,500.00	Facility		$533.13	$1,228.44	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $889.52 / $1,349.23 / $2,185.92	Professional		$889.52	$1,349.23	$2,185.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $844.33 / $1,216.67 / $2,679.22	Professional		$844.33	$1,216.67	$2,679.22
United Facility/Professional Facility Modifier Low / Median / High Price $625.00 / $3,218.00 / $5,272.00	Facility		$625.00	$3,218.00	$5,272.00
United Facility/Professional Professional Modifier Low / Median / High Price $794.21 / $1,333.32 / $2,062.04	Professional		$794.21	$1,333.32	$2,062.04