Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $966.83 / $5,045.00 / $6,915.00	Facility		$966.83	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $920.44 / $1,106.20 / $2,107.57	Professional		$920.44	$1,106.20	$2,107.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,406.20 / $5,523.39 / $15,411.81	Facility		$1,406.20	$5,523.39	$15,411.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $934.25 / $1,317.30 / $2,566.69	Professional		$934.25	$1,317.30	$2,566.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,773.42 / $1,940.57 / $2,980.16	Facility		$1,773.42	$1,940.57	$2,980.16
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 $1,078.94 / $1,590.04 / $2,683.52	Professional		$1,078.94	$1,590.04	$2,683.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $928.99 / $1,207.69 / $2,614.07	Professional		$928.99	$1,207.69	$2,614.07
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 $988.34 / $1,375.42 / $2,483.17	Professional		$988.34	$1,375.42	$2,483.17