Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,062.58 / $5,063.00 / $9,512.00	Facility		$1,062.58	$5,063.00	$9,512.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $665.21 / $812.09 / $1,771.46	Professional		$665.21	$812.09	$1,771.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,540.00 / $4,412.76 / $8,545.91	Facility		$1,540.00	$4,412.76	$8,545.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $719.19 / $1,056.90 / $1,907.10	Professional		$719.19	$1,056.90	$1,907.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,117.86 / $1,117.86 / $1,117.86	Facility		$1,117.86	$1,117.86	$1,117.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $838.09 / $838.09 / $4,013.65	Facility		$838.09	$838.09	$4,013.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $750.64 / $1,142.86 / $1,885.24	Professional		$750.64	$1,142.86	$1,885.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $809.15 / $1,167.82 / $1,875.17	Professional		$809.15	$1,167.82	$1,875.17
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 $658.00 / $1,031.33 / $1,830.96	Professional		$658.00	$1,031.33	$1,830.96