Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $748.37 / $5,045.00 / $6,915.00	Facility		$748.37	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $676.05 / $816.09 / $1,444.48	Professional		$676.05	$816.09	$1,444.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $2,634.62 / $5,292.58	Facility		$964.00	$2,634.62	$5,292.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,075.20 / $2,065.92	Professional		$707.95	$1,075.20	$2,065.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,141.85 / $1,141.85 / $1,141.85	Facility		$1,141.85	$1,141.85	$1,141.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $869.70 / $869.70 / $2,500.00	Facility		$869.70	$869.70	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $791.35 / $1,147.45 / $2,155.94	Professional		$791.35	$1,147.45	$2,155.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $877.84 / $1,221.33 / $2,207.56	Professional		$877.84	$1,221.33	$2,207.56
United Facility/Professional Facility Modifier Low / Median / High Price $1,323.00 / $4,581.00 / $7,647.00	Facility		$1,323.00	$4,581.00	$7,647.00
United Facility/Professional Professional Modifier Low / Median / High Price $645.42 / $1,005.21 / $1,775.07	Professional		$645.42	$1,005.21	$1,775.07