Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $755.82 / $5,045.00 / $6,915.00	Facility		$755.82	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $703.15 / $861.28 / $1,544.11	Professional		$703.15	$861.28	$1,544.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,538.99 / $5,842.74 / $15,411.81	Facility		$1,538.99	$5,842.74	$15,411.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $696.84 / $1,001.10 / $1,944.18	Professional		$696.84	$1,001.10	$1,944.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,321.16 / $1,440.59 / $2,212.32	Facility		$1,321.16	$1,440.59	$2,212.32
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 $807.13 / $1,231.94 / $2,059.65	Professional		$807.13	$1,231.94	$2,059.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $692.08 / $899.70 / $1,915.20	Professional		$692.08	$899.70	$1,915.20
United Facility/Professional Facility Modifier Low / Median / High Price $607.00 / $3,629.00 / $10,000.00	Facility		$607.00	$3,629.00	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $765.75 / $1,030.18 / $1,938.07	Professional		$765.75	$1,030.18	$1,938.07