Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $826.61 / $5,045.00 / $6,915.00	Facility		$826.61	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $701.91 / $826.61 / $1,659.23	Professional		$701.91	$826.61	$1,659.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,206.01 / $3,514.57 / $6,339.18	Facility		$1,206.01	$3,514.57	$6,339.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $737.52 / $1,127.81 / $2,076.94	Professional		$737.52	$1,127.81	$2,076.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,218.86 / $1,433.97 / $1,674.51	Facility		$1,218.86	$1,433.97	$1,674.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $833.90 / $1,268.52 / $1,959.55	Professional		$833.90	$1,268.52	$1,959.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $743.28 / $945.99 / $1,829.78	Professional		$743.28	$945.99	$1,829.78
United Facility/Professional Facility Modifier Low / Median / High Price $1,519.00 / $6,689.00 / $8,836.00	Facility		$1,519.00	$6,689.00	$8,836.00
United Facility/Professional Professional Modifier Low / Median / High Price $777.28 / $1,067.58 / $1,781.62	Professional		$777.28	$1,067.58	$1,781.62