Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $904.92 / $5,045.00 / $6,915.00	Facility		$904.92	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $861.52 / $1,051.69 / $2,261.00	Professional		$861.52	$1,051.69	$2,261.00
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 $873.98 / $1,241.57 / $2,392.21	Professional		$873.98	$1,241.57	$2,392.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,659.14 / $1,813.86 / $2,785.56	Facility		$1,659.14	$1,813.86	$2,785.56
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 $990.23 / $1,483.48 / $2,456.46	Professional		$990.23	$1,483.48	$2,456.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $869.13 / $1,129.86 / $2,922.24	Professional		$869.13	$1,129.86	$2,922.24
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 $923.42 / $1,286.19 / $2,322.98	Professional		$923.42	$1,286.19	$2,322.98