Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $824.09 / $3,826.00 / $6,915.00	Facility		$824.09	$3,826.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $673.32 / $824.09 / $1,751.11	Professional		$673.32	$824.09	$1,751.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $989.09 / $3,392.46 / $8,545.91	Facility		$989.09	$3,392.46	$8,545.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $654.99 / $1,030.74 / $1,774.52	Professional		$654.99	$1,030.74	$1,774.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,457.84 / $1,457.84 / $1,457.84	Facility		$1,457.84	$1,457.84	$1,457.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,134.27 / $4,013.65	Facility		$860.00	$1,134.27	$4,013.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $744.04 / $1,195.83 / $1,967.88	Professional		$744.04	$1,195.83	$1,967.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $788.52 / $1,114.60 / $1,954.62	Professional		$788.52	$1,114.60	$1,954.62
United Facility/Professional Facility Modifier Low / Median / High Price $1,738.00 / $7,794.00 / $14,048.00	Facility		$1,738.00	$7,794.00	$14,048.00
United Facility/Professional Professional Modifier Low / Median / High Price $767.22 / $1,219.03 / $1,993.54	Professional		$767.22	$1,219.03	$1,993.54