Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $827.14 / $5,063.00 / $7,421.00	Facility		$827.14	$5,063.00	$7,421.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $540.53 / $681.06 / $1,150.46	Professional		$540.53	$681.06	$1,150.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,185.65 / $3,272.95 / $6,315.83	Facility		$1,185.65	$3,272.95	$6,315.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $549.36 / $775.79 / $1,439.95	Professional		$549.36	$775.79	$1,439.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,060.41 / $1,152.18 / $1,769.43	Facility		$1,060.41	$1,152.18	$1,769.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,128.69 / $2,128.69 / $2,128.69	Facility		$2,128.69	$2,128.69	$2,128.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $605.13 / $896.52 / $1,537.07	Professional		$605.13	$896.52	$1,537.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $555.49 / $722.14 / $1,200.39	Professional		$555.49	$722.14	$1,200.39
United Facility/Professional Facility Modifier Low / Median / High Price $1,519.00 / $6,351.00 / $8,836.00	Facility		$1,519.00	$6,351.00	$8,836.00
United Facility/Professional Professional Modifier Low / Median / High Price $550.16 / $750.88 / $1,458.49	Professional		$550.16	$750.88	$1,458.49