Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.00 / $4,613.00 / $6,915.00	Facility		$1,202.00	$4,613.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $763.65 / $879.91 / $1,490.34	Professional		$763.65	$879.91	$1,490.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,135.89 / $2,987.00 / $6,315.83	Facility		$1,135.89	$2,987.00	$6,315.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $789.92 / $1,180.59 / $2,136.23	Professional		$789.92	$1,180.59	$2,136.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,546.49 / $1,691.81 / $2,196.27	Facility		$1,546.49	$1,691.81	$2,196.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $726.90 / $996.96 / $1,762.17	Professional		$726.90	$996.96	$1,762.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $974.88 / $1,090.77 / $1,848.53	Professional		$974.88	$1,090.77	$1,848.53
United Facility/Professional Facility Modifier Low / Median / High Price $1,200.00 / $4,886.00 / $7,889.00	Facility		$1,200.00	$4,886.00	$7,889.00
United Facility/Professional Professional Modifier Low / Median / High Price $742.87 / $1,107.15 / $2,102.71	Professional		$742.87	$1,107.15	$2,102.71