Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,274.79 / $5,063.00 / $7,421.00	Facility		$1,274.79	$5,063.00	$7,421.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $704.02 / $929.77 / $2,175.92	Professional		$704.02	$929.77	$2,175.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $996.37 / $2,722.51 / $5,292.58	Facility		$996.37	$2,722.51	$5,292.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $860.27 / $1,259.78 / $2,260.71	Professional		$860.27	$1,259.78	$2,260.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,617.74 / $1,767.66 / $2,714.61	Facility		$1,617.74	$1,767.66	$2,714.61
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 $918.34 / $1,446.26 / $2,319.63	Professional		$918.34	$1,446.26	$2,319.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $847.44 / $1,101.67 / $1,581.17	Professional		$847.44	$1,101.67	$1,581.17
United Facility/Professional Facility Modifier Low / Median / High Price $1,369.00 / $4,581.00 / $7,647.00	Facility		$1,369.00	$4,581.00	$7,647.00
United Facility/Professional Professional Modifier Low / Median / High Price $888.20 / $1,172.80 / $1,870.22	Professional		$888.20	$1,172.80	$1,870.22