Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.00 / $4,368.00 / $6,915.00	Facility		$1,202.00	$4,368.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $711.91 / $850.22 / $2,128.48	Professional		$711.91	$850.22	$2,128.48
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 $767.68 / $1,145.18 / $1,995.38	Professional		$767.68	$1,145.18	$1,995.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,337.25 / $1,617.06 / $2,199.69	Facility		$1,337.25	$1,617.06	$2,199.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $878.62 / $4,013.65	Facility		$860.00	$878.62	$4,013.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $834.58 / $1,266.78 / $2,051.28	Professional		$834.58	$1,266.78	$2,051.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $844.45 / $1,267.61 / $2,750.96	Professional		$844.45	$1,267.61	$2,750.96
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 $703.09 / $1,107.96 / $1,789.96	Professional		$703.09	$1,107.96	$1,789.96