Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,280.08 / $4,592.00 / $6,915.00	Facility		$1,280.08	$4,592.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $823.43 / $1,046.29 / $2,386.26	Professional		$823.43	$1,046.29	$2,386.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,732.27 / $6,959.71 / $17,687.80	Facility		$1,732.27	$6,959.71	$17,687.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $838.24 / $1,229.23 / $2,194.29	Professional		$838.24	$1,229.23	$2,194.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,586.58 / $1,741.49 / $2,674.43	Facility		$1,586.58	$1,741.49	$2,674.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $550.00 / $550.00	Facility		$550.00	$550.00	$550.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $967.10 / $1,476.00 / $2,268.09	Professional		$967.10	$1,476.00	$2,268.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $831.12 / $1,080.46 / $2,467.01	Professional		$831.12	$1,080.46	$2,467.01
United Facility/Professional Facility Modifier Low / Median / High Price $1,519.00 / $6,351.00 / $8,836.00	Facility		$1,519.00	$6,351.00	$8,836.00
United Facility/Professional Professional Modifier Low / Median / High Price $880.51 / $1,260.95 / $2,079.46	Professional		$880.51	$1,260.95	$2,079.46