Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $943.39 / $5,045.00 / $6,915.00	Facility		$943.39	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $898.22 / $1,096.83 / $2,075.76	Professional		$898.22	$1,096.83	$2,075.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,298.47 / $4,431.64 / $10,456.09	Facility		$1,298.47	$4,431.64	$10,456.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $911.75 / $1,289.28 / $2,508.75	Professional		$911.75	$1,289.28	$2,508.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,730.27 / $1,892.40 / $2,906.18	Facility		$1,730.27	$1,892.40	$2,906.18
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 $1,054.74 / $1,550.00 / $2,570.30	Professional		$1,054.74	$1,550.00	$2,570.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $906.39 / $1,178.31 / $2,574.63	Professional		$906.39	$1,178.31	$2,574.63
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 $963.45 / $1,392.83 / $2,423.36	Professional		$963.45	$1,392.83	$2,423.36