Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $949.70 / $5,045.00 / $6,915.00	Facility		$949.70	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $904.43 / $1,086.15 / $2,035.10	Professional		$904.43	$1,086.15	$2,035.10
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 $917.68 / $1,293.92 / $2,510.60	Professional		$917.68	$1,293.92	$2,510.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,742.76 / $1,906.17 / $2,927.34	Facility		$1,742.76	$1,906.17	$2,927.34
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 $1,038.95 / $1,558.79 / $2,615.88	Professional		$1,038.95	$1,558.79	$2,615.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $912.94 / $1,186.82 / $2,524.21	Professional		$912.94	$1,186.82	$2,524.21
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 $970.30 / $1,349.64 / $2,439.12	Professional		$970.30	$1,349.64	$2,439.12