Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $961.22 / $4,368.00 / $6,915.00	Facility		$961.22	$4,368.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $704.38 / $939.80 / $1,350.14	Professional		$704.38	$939.80	$1,350.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $869.00 / $2,292.94 / $5,240.56	Facility		$869.00	$2,292.94	$5,240.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $720.42 / $1,154.41 / $2,272.13	Professional		$720.42	$1,154.41	$2,272.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,465.04 / $1,777.76 / $2,472.08	Facility		$1,465.04	$1,777.76	$2,472.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $973.11 / $1,272.50	Facility		$860.00	$973.11	$1,272.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $689.85 / $1,126.23 / $2,169.55	Professional		$689.85	$1,126.23	$2,169.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $992.16 / $1,294.13 / $2,495.04	Professional		$992.16	$1,294.13	$2,495.04
United Facility/Professional Facility Modifier Low / Median / High Price $625.00 / $3,218.00 / $5,272.00	Facility		$625.00	$3,218.00	$5,272.00
United Facility/Professional Professional Modifier Low / Median / High Price $650.69 / $944.26 / $1,888.66	Professional		$650.69	$944.26	$1,888.66