Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $961.21 / $4,368.00 / $6,915.00	Facility		$961.21	$4,368.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $613.41 / $829.98 / $1,470.66	Professional		$613.41	$829.98	$1,470.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $996.37 / $5,435.54 / $12,227.65	Facility		$996.37	$5,435.54	$12,227.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $762.52 / $1,221.86 / $2,219.46	Professional		$762.52	$1,221.86	$2,219.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,541.70 / $1,813.77 / $2,582.88	Facility		$1,541.70	$1,813.77	$2,582.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,039.80 / $4,830.16	Facility		$860.00	$1,039.80	$4,830.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $703.05 / $1,097.22 / $2,113.67	Professional		$703.05	$1,097.22	$2,113.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $991.55 / $1,352.12 / $2,234.44	Professional		$991.55	$1,352.12	$2,234.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,519.00 / $6,351.00 / $8,836.00	Facility		$1,519.00	$6,351.00	$8,836.00
United Facility/Professional Professional Modifier Low / Median / High Price $658.00 / $949.34 / $2,075.57	Professional		$658.00	$949.34	$2,075.57