Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.00 / $5,063.00 / $9,512.00	Facility		$1,202.00	$5,063.00	$9,512.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $768.37 / $919.26 / $2,520.31	Professional		$768.37	$919.26	$2,520.31
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 $834.88 / $1,206.03 / $2,160.02	Professional		$834.88	$1,206.03	$2,160.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,338.61 / $1,338.61 / $1,338.61	Facility		$1,338.61	$1,338.61	$1,338.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $953.80 / $953.80 / $4,013.65	Facility		$953.80	$953.80	$4,013.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $900.50 / $1,378.11 / $2,228.21	Professional		$900.50	$1,378.11	$2,228.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $914.93 / $1,396.97 / $4,262.06	Professional		$914.93	$1,396.97	$4,262.06
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 $757.09 / $1,157.90 / $1,937.24	Professional		$757.09	$1,157.90	$1,937.24