Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,015.62 / $1,015.62 / $1,015.62	Facility		$1,015.62	$1,015.62	$1,015.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $978.91 / $1,015.62 / $1,015.62	Professional		$978.91	$1,015.62	$1,015.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $411.71 / $977.48 / $1,510.98	Facility		$411.71	$977.48	$1,510.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $929.96 / $1,162.46 / $1,162.46	Professional		$929.96	$1,162.46	$1,162.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,040.08 / $1,070.69 / $2,098.54	Facility		$1,040.08	$1,070.69	$2,098.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,040.08 / $1,040.08 / $1,040.08	Facility		$1,040.08	$1,040.08	$1,040.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,040.08 / $1,040.08 / $1,040.08	Professional		$1,040.08	$1,040.08	$1,040.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $265.16 / $265.16 / $972.05	Professional		$265.16	$265.16	$972.05
United Facility/Professional Professional Modifier Low / Median / High Price $1,019.70 / $1,019.70 / $1,223.64	Professional		$1,019.70	$1,019.70	$1,223.64