Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,168.39 / $5,063.00 / $9,488.00	Facility		$1,168.39	$5,063.00	$9,488.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $687.37 / $2,286.89 / $4,192.33	Professional		$687.37	$2,286.89	$4,192.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,540.00 / $4,412.76 / $8,545.91	Facility		$1,540.00	$4,412.76	$8,545.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $658.85 / $1,108.47 / $1,884.84	Professional		$658.85	$1,108.47	$1,884.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,080.91 / $4,080.91 / $4,080.91	Facility		$4,080.91	$4,080.91	$4,080.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,144.52 / $1,144.52 / $5,087.16	Facility		$1,144.52	$1,144.52	$5,087.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $851.01 / $2,327.16 / $5,909.22	Professional		$851.01	$2,327.16	$5,909.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $794.80 / $2,892.23 / $5,343.54	Professional		$794.80	$2,892.23	$5,343.54
United Facility/Professional Facility Modifier Low / Median / High Price $1,323.00 / $4,594.00 / $7,889.00	Facility		$1,323.00	$4,594.00	$7,889.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,477.04 / $3,840.09 / $6,027.76	Professional		$2,477.04	$3,840.09	$6,027.76