Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.02 / $5,063.00 / $9,512.00	Facility		$1,174.02	$5,063.00	$9,512.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $759.85 / $926.42 / $2,392.29	Professional		$759.85	$926.42	$2,392.29
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 $834.51 / $1,199.33 / $2,169.89	Professional		$834.51	$1,199.33	$2,169.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,241.19 / $1,241.19 / $1,241.19	Facility		$1,241.19	$1,241.19	$1,241.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $950.80 / $950.80 / $5,100.64	Facility		$950.80	$950.80	$5,100.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $860.96 / $1,314.96 / $2,202.59	Professional		$860.96	$1,314.96	$2,202.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $917.96 / $1,322.67 / $4,867.22	Professional		$917.96	$1,322.67	$4,867.22
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 $748.50 / $1,130.48 / $1,894.82	Professional		$748.50	$1,130.48	$1,894.82