Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,085.13 / $5,063.00 / $6,915.00	Facility		$1,085.13	$5,063.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $754.45 / $950.38 / $1,944.52	Professional		$754.45	$950.38	$1,944.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,063.95 / $3,107.04 / $6,147.04	Facility		$1,063.95	$3,107.04	$6,147.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $813.39 / $1,207.46 / $2,287.42	Professional		$813.39	$1,207.46	$2,287.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,123.40 / $1,123.40 / $1,123.40	Facility		$1,123.40	$1,123.40	$1,123.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,021.10 / $2,500.00	Facility		$500.00	$1,021.10	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $798.00 / $1,218.35 / $2,265.39	Professional		$798.00	$1,218.35	$2,265.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $994.15 / $1,376.34 / $2,240.29	Professional		$994.15	$1,376.34	$2,240.29
United Facility/Professional Facility Modifier Low / Median / High Price $625.00 / $3,218.00 / $5,272.00	Facility		$625.00	$3,218.00	$5,272.00
United Facility/Professional Professional Modifier Low / Median / High Price $728.26 / $1,070.98 / $2,051.10	Professional		$728.26	$1,070.98	$2,051.10