Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $959.64 / $5,045.00 / $6,915.00	Facility		$959.64	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $775.95 / $1,010.74 / $1,892.48	Professional		$775.95	$1,010.74	$1,892.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,282.27 / $5,155.99 / $39,007.80	Facility		$1,282.27	$5,155.99	$39,007.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $836.28 / $1,305.51 / $2,297.53	Professional		$836.28	$1,305.51	$2,297.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,629.17 / $1,927.80 / $2,662.53	Facility		$1,629.17	$1,927.80	$2,662.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,056.80 / $2,500.00	Facility		$500.00	$1,056.80	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $872.89 / $1,373.86 / $2,384.94	Professional		$872.89	$1,373.86	$2,384.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,022.13 / $1,393.82 / $2,303.36	Professional		$1,022.13	$1,393.82	$2,303.36
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 $791.57 / $1,148.68 / $2,106.79	Professional		$791.57	$1,148.68	$2,106.79