Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,285.11 / $6,726.00 / $14,497.00	Facility		$1,285.11	$6,726.00	$14,497.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $639.60 / $809.51 / $1,789.25	Professional		$639.60	$809.51	$1,789.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,839.72 / $5,023.33 / $9,365.64	Facility		$1,839.72	$5,023.33	$9,365.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $647.14 / $920.20 / $1,794.63	Professional		$647.14	$920.20	$1,794.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,228.29 / $1,342.07 / $2,061.03	Facility		$1,228.29	$1,342.07	$2,061.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,613.12 / $3,613.12 / $31,200.00	Facility		$3,613.12	$3,613.12	$31,200.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $734.30 / $1,114.52 / $1,849.05	Professional		$734.30	$1,114.52	$1,849.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $643.42 / $836.46 / $1,671.78	Professional		$643.42	$836.46	$1,671.78
United Facility/Professional Facility Modifier Low / Median / High Price $1,998.00 / $9,172.00 / $18,613.00	Facility		$1,998.00	$9,172.00	$18,613.00
United Facility/Professional Professional Modifier Low / Median / High Price $682.92 / $940.34 / $1,506.37	Professional		$682.92	$940.34	$1,506.37