Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,358.43 / $5,063.00 / $6,915.00	Facility		$1,358.43	$5,063.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $897.53 / $1,076.58 / $2,654.90	Professional		$897.53	$1,076.58	$2,654.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,282.27 / $5,523.39 / $15,411.81	Facility		$1,282.27	$5,523.39	$15,411.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $911.05 / $1,300.60 / $2,595.75	Professional		$911.05	$1,300.60	$2,595.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,729.65 / $1,891.68 / $2,905.08	Facility		$1,729.65	$1,891.68	$2,905.08
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 $1,045.95 / $1,542.58 / $2,577.10	Professional		$1,045.95	$1,542.58	$2,577.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $906.07 / $1,177.89 / $2,310.36	Professional		$906.07	$1,177.89	$2,310.36
United Facility/Professional Facility Modifier Low / Median / High Price $1,200.00 / $4,826.00 / $7,889.00	Facility		$1,200.00	$4,826.00	$7,889.00
United Facility/Professional Professional Modifier Low / Median / High Price $960.21 / $1,364.47 / $2,193.73	Professional		$960.21	$1,364.47	$2,193.73