Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $997.54 / $4,841.00 / $6,915.00	Facility		$997.54	$4,841.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $675.28 / $802.35 / $1,783.52	Professional		$675.28	$802.35	$1,783.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,376.26 / $3,839.45 / $8,545.91	Facility		$1,376.26	$3,839.45	$8,545.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $668.45 / $923.54 / $1,656.51	Professional		$668.45	$923.54	$1,656.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,283.75 / $1,364.15 / $2,094.92	Facility		$1,283.75	$1,364.15	$2,094.92
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 $684.05 / $1,100.09 / $1,779.10	Professional		$684.05	$1,100.09	$1,779.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $675.25 / $877.83 / $2,042.66	Professional		$675.25	$877.83	$2,042.66
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 $657.36 / $920.30 / $1,712.25	Professional		$657.36	$920.30	$1,712.25