Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,136.72 / $5,063.00 / $6,915.00	Facility		$1,136.72	$5,063.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $775.89 / $930.16 / $1,976.80	Professional		$775.89	$930.16	$1,976.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,206.01 / $5,516.40 / $12,227.65	Facility		$1,206.01	$5,516.40	$12,227.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $865.71 / $1,285.29 / $2,339.15	Professional		$865.71	$1,285.29	$2,339.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,223.39 / $1,223.39 / $1,223.39	Facility		$1,223.39	$1,223.39	$1,223.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,086.20 / $57,200.00	Facility		$500.00	$1,086.20	$57,200.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $856.20 / $1,312.08 / $2,308.57	Professional		$856.20	$1,312.08	$2,308.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,058.08 / $1,409.91 / $2,384.40	Professional		$1,058.08	$1,409.91	$2,384.40
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 $756.07 / $1,143.10 / $2,166.29	Professional		$756.07	$1,143.10	$2,166.29