Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $767.02 / $5,045.00 / $6,915.00	Facility		$767.02	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $725.48 / $917.74 / $1,627.04	Professional		$725.48	$917.74	$1,627.04
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 $732.52 / $1,028.85 / $1,923.76	Professional		$732.52	$1,028.85	$1,923.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,393.70 / $1,521.93 / $2,337.26	Facility		$1,393.70	$1,521.93	$2,337.26
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 $832.58 / $1,246.58 / $2,091.66	Professional		$832.58	$1,246.58	$2,091.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $730.08 / $949.10 / $1,824.07	Professional		$730.08	$949.10	$1,824.07
United Facility/Professional Facility Modifier Low / Median / High Price $1,519.00 / $6,689.00 / $9,990.00	Facility		$1,519.00	$6,689.00	$9,990.00
United Facility/Professional Professional Modifier Low / Median / High Price $774.86 / $1,105.06 / $1,790.54	Professional		$774.86	$1,105.06	$1,790.54