Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,271.08 / $5,063.00 / $7,421.00	Facility		$1,271.08	$5,063.00	$7,421.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $639.61 / $792.95 / $1,753.80	Professional		$639.61	$792.95	$1,753.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,282.27 / $5,155.99 / $21,657.35	Facility		$1,282.27	$5,155.99	$21,657.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $710.81 / $1,099.32 / $1,932.98	Professional		$710.81	$1,099.32	$1,932.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,260.65 / $1,484.85 / $2,019.84	Facility		$1,260.65	$1,484.85	$2,019.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $813.77 / $2,500.00	Facility		$500.00	$813.77	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $793.70 / $1,174.24 / $1,850.91	Professional		$793.70	$1,174.24	$1,850.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $775.40 / $1,187.25 / $2,212.64	Professional		$775.40	$1,187.25	$2,212.64
United Facility/Professional Facility Modifier Low / Median / High Price $1,998.00 / $9,172.00 / $18,613.00	Facility		$1,998.00	$9,172.00	$18,613.00
United Facility/Professional Professional Modifier Low / Median / High Price $671.96 / $1,096.00 / $1,709.69	Professional		$671.96	$1,096.00	$1,709.69