Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $713.89 / $4,592.00 / $6,915.00	Facility		$713.89	$4,592.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $550.02 / $713.89 / $1,472.31	Professional		$550.02	$713.89	$1,472.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,195.63 / $3,839.45 / $8,545.91	Facility		$1,195.63	$3,839.45	$8,545.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $509.65 / $713.51 / $1,292.10	Professional		$509.65	$713.51	$1,292.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $964.65 / $1,025.06 / $1,574.19	Facility		$964.65	$1,025.06	$1,574.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,685.16 / $3,685.16 / $3,685.16	Facility		$3,685.16	$3,685.16	$3,685.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $580.82 / $956.70 / $1,490.96	Professional		$580.82	$956.70	$1,490.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $555.92 / $755.08 / $1,346.18	Professional		$555.92	$755.08	$1,346.18
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 $661.95 / $912.71 / $1,574.47	Professional		$661.95	$912.71	$1,574.47