Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $989.10 / $2,642.01 / $4,714.96	Facility		$989.10	$2,642.01	$4,714.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $892.42 / $1,189.90 / $1,413.00	Professional		$892.42	$1,189.90	$1,413.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $906.02 / $1,636.11 / $5,146.30	Facility		$906.02	$1,636.11	$5,146.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.65 / $594.95 / $1,338.63	Professional		$45.65	$594.95	$1,338.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $966.79 / $2,082.32 / $3,196.81	Facility		$966.79	$2,082.32	$3,196.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.89 / $2,339.63 / $3,272.21	Facility		$97.89	$2,339.63	$3,272.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,708.99 / $1,998.05 / $2,265.83	Professional		$1,708.99	$1,998.05	$2,265.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,625.29 / $1,710.48 / $2,240.87	Professional		$1,625.29	$1,710.48	$2,240.87
United Facility/Professional Professional Modifier Low / Median / High Price $654.44 / $892.42 / $1,487.37	Professional		$654.44	$892.42	$1,487.37