Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,079.11 / $5,063.00 / $12,390.00	Facility		$1,079.11	$5,063.00	$12,390.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $628.40 / $766.68 / $1,607.80	Professional		$628.40	$766.68	$1,607.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,206.01 / $5,634.28 / $21,112.96	Facility		$1,206.01	$5,634.28	$21,112.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $699.14 / $1,002.78 / $1,814.28	Professional		$699.14	$1,002.78	$1,814.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,219.22 / $1,472.70 / $2,003.30	Facility		$1,219.22	$1,472.70	$2,003.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $796.05 / $796.05 / $6,091.65	Facility		$796.05	$796.05	$6,091.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $720.64 / $1,087.71 / $1,779.77	Professional		$720.64	$1,087.71	$1,779.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $769.05 / $1,075.27 / $1,733.05	Professional		$769.05	$1,075.27	$1,733.05
United Facility/Professional Facility Modifier Low / Median / High Price $1,738.00 / $7,794.00 / $14,048.00	Facility		$1,738.00	$7,794.00	$14,048.00
United Facility/Professional Professional Modifier Low / Median / High Price $615.05 / $962.12 / $1,584.29	Professional		$615.05	$962.12	$1,584.29