Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,045.77 / $4,852.00 / $7,391.00	Facility		$1,045.77	$4,852.00	$7,391.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $681.93 / $1,010.81 / $1,952.00	Professional		$681.93	$1,010.81	$1,952.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,240.00 / $3,851.83 / $8,545.91	Facility		$1,240.00	$3,851.83	$8,545.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $743.66 / $1,086.70 / $1,924.02	Professional		$743.66	$1,086.70	$1,924.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,298.88 / $1,563.66 / $2,127.05	Facility		$1,298.88	$1,563.66	$2,127.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,268.44 / $1,268.44 / $5,471.54	Facility		$1,268.44	$1,268.44	$5,471.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $807.51 / $1,276.32 / $2,126.27	Professional		$807.51	$1,276.32	$2,126.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $890.78 / $1,285.00 / $2,493.19	Professional		$890.78	$1,285.00	$2,493.19
United Facility/Professional Facility Modifier Low / Median / High Price $1,738.00 / $7,794.00 / $14,048.00	Facility		$1,738.00	$7,794.00	$14,048.00
United Facility/Professional Professional Modifier Low / Median / High Price $841.01 / $1,258.88 / $2,281.96	Professional		$841.01	$1,258.88	$2,281.96