Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,246.43 / $5,063.00 / $9,512.00	Facility		$1,246.43	$5,063.00	$9,512.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $845.40 / $958.55 / $2,202.14	Professional		$845.40	$958.55	$2,202.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,556.18 / $4,429.60 / $8,545.91	Facility		$1,556.18	$4,429.60	$8,545.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $903.00 / $1,278.32 / $2,243.82	Professional		$903.00	$1,278.32	$2,243.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,708.88 / $1,823.87 / $2,800.95	Facility		$1,708.88	$1,823.87	$2,800.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,685.16 / $3,685.16 / $3,685.16	Facility		$3,685.16	$3,685.16	$3,685.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $968.89 / $1,506.70 / $2,376.29	Professional		$968.89	$1,506.70	$2,376.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $895.18 / $1,163.73 / $2,731.38	Professional		$895.18	$1,163.73	$2,731.38
United Facility/Professional Facility Modifier Low / Median / High Price $1,738.00 / $7,794.00 / $14,048.00	Facility		$1,738.00	$7,794.00	$14,048.00
United Facility/Professional Professional Modifier Low / Median / High Price $917.28 / $1,285.38 / $2,023.08	Professional		$917.28	$1,285.38	$2,023.08