Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $999.57 / $5,045.00 / $6,915.00	Facility		$999.57	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $607.29 / $751.44 / $1,511.88	Professional		$607.29	$751.44	$1,511.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,082.02 / $2,986.70 / $6,315.83	Facility		$1,082.02	$2,986.70	$6,315.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $660.60 / $980.77 / $1,812.47	Professional		$660.60	$980.77	$1,812.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,218.61 / $1,472.01 / $2,002.35	Facility		$1,218.61	$1,472.01	$2,002.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $795.67 / $795.67 / $2,822.85	Facility		$795.67	$795.67	$2,822.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $697.43 / $1,067.09 / $1,778.85	Professional		$697.43	$1,067.09	$1,778.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $768.69 / $1,048.22 / $1,875.25	Professional		$768.69	$1,048.22	$1,875.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,075.00 / $4,826.00 / $7,889.00	Facility		$1,075.00	$4,826.00	$7,889.00
United Facility/Professional Professional Modifier Low / Median / High Price $605.22 / $904.47 / $1,582.71	Professional		$605.22	$904.47	$1,582.71