Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $795.80 / $5,045.00 / $6,915.00	Facility		$795.80	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $757.61 / $924.28 / $1,736.00	Professional		$757.61	$924.28	$1,736.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,206.01 / $3,514.57 / $6,339.18	Facility		$1,206.01	$3,514.57	$6,339.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $768.61 / $1,088.72 / $2,117.67	Professional		$768.61	$1,088.72	$2,117.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,459.91 / $1,595.10 / $2,449.62	Facility		$1,459.91	$1,595.10	$2,449.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,090.96 / $2,090.96 / $2,090.96	Facility		$2,090.96	$2,090.96	$2,090.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $890.39 / $1,305.63 / $2,172.46	Professional		$890.39	$1,305.63	$2,172.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $764.76 / $994.19 / $2,037.80	Professional		$764.76	$994.19	$2,037.80
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 $812.72 / $1,129.28 / $2,042.94	Professional		$812.72	$1,129.28	$2,042.94