Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,127.00 / $5,063.00 / $6,915.00	Facility		$1,127.00	$5,063.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $661.49 / $807.95 / $1,785.86	Professional		$661.49	$807.95	$1,785.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $2,634.62 / $5,292.58	Facility		$964.00	$2,634.62	$5,292.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $725.85 / $1,048.11 / $1,933.16	Professional		$725.85	$1,048.11	$1,933.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,116.20 / $1,116.20 / $1,116.20	Facility		$1,116.20	$1,116.20	$1,116.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $849.99 / $849.99 / $2,500.00	Facility		$849.99	$849.99	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $759.43 / $1,165.91 / $1,907.31	Professional		$759.43	$1,165.91	$1,907.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $820.49 / $1,118.84 / $2,215.07	Professional		$820.49	$1,118.84	$2,215.07
United Facility/Professional Facility Modifier Low / Median / High Price $1,075.00 / $4,826.00 / $7,889.00	Facility		$1,075.00	$4,826.00	$7,889.00
United Facility/Professional Professional Modifier Low / Median / High Price $667.21 / $1,011.62 / $1,702.95	Professional		$667.21	$1,011.62	$1,702.95