Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.78 / $6,439.00 / $12,172.00	Facility		$1,400.78	$6,439.00	$12,172.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $648.79 / $874.51 / $2,228.55	Professional		$648.79	$874.51	$2,228.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,550.94 / $4,405.96 / $9,365.64	Facility		$1,550.94	$4,405.96	$9,365.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $790.80 / $1,220.08 / $2,103.54	Professional		$790.80	$1,220.08	$2,103.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,488.57 / $1,630.82 / $2,504.48	Facility		$1,488.57	$1,630.82	$2,504.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,008.00 / $7,258.00 / $10,047.00	Facility		$5,008.00	$7,258.00	$10,047.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $853.61 / $1,342.80 / $2,320.46	Professional		$853.61	$1,342.80	$2,320.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $779.78 / $1,013.71 / $3,231.98	Professional		$779.78	$1,013.71	$3,231.98
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 $834.66 / $1,115.33 / $1,843.65	Professional		$834.66	$1,115.33	$1,843.65