Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.30 / $1,857.07 / $9,596.34	Facility		$56.30	$1,857.07	$9,596.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,857.06 / $1,857.07 / $8,548.45	Professional		$1,857.06	$1,857.07	$8,548.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $719.87 / $2,121.98 / $2,641.92	Facility		$719.87	$2,121.98	$2,641.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,820.66 / $2,017.58 / $2,075.55	Professional		$1,820.66	$2,017.58	$2,075.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,857.07 / $1,911.69 / $3,746.91	Facility		$1,857.07	$1,911.69	$3,746.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,039.14 / $2,039.14 / $2,039.14	Facility		$2,039.14	$2,039.14	$2,039.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,039.14 / $2,039.14 / $2,039.14	Professional		$2,039.14	$2,039.14	$2,039.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $68.25 / $1,216.93 / $1,528.27	Professional		$68.25	$1,216.93	$1,528.27
United Facility/Professional Professional Modifier Low / Median / High Price $1,875.28 / $2,123.77 / $2,344.10	Professional		$1,875.28	$2,123.77	$2,344.10