Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,076.89 / $5,063.00 / $6,915.00	Facility		$1,076.89	$5,063.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $583.54 / $782.21 / $1,785.22	Professional		$583.54	$782.21	$1,785.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,538.99 / $5,842.74 / $14,965.63	Facility		$1,538.99	$5,842.74	$14,965.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $714.24 / $1,029.88 / $1,854.78	Professional		$714.24	$1,029.88	$1,854.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,343.04 / $1,463.34 / $2,247.27	Facility		$1,343.04	$1,463.34	$2,247.27
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 $717.40 / $1,176.34 / $1,902.36	Professional		$717.40	$1,176.34	$1,902.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $703.54 / $914.60 / $1,391.83	Professional		$703.54	$914.60	$1,391.83
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 $712.34 / $990.29 / $1,675.97	Professional		$712.34	$990.29	$1,675.97