Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,103.81 / $5,045.00 / $6,915.00	Facility		$1,103.81	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $605.70 / $725.49 / $1,542.98	Professional		$605.70	$725.49	$1,542.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,240.00 / $3,837.00 / $8,545.91	Facility		$1,240.00	$3,837.00	$8,545.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $617.78 / $954.32 / $1,722.58	Professional		$617.78	$954.32	$1,722.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,205.52 / $1,205.52 / $1,205.52	Facility		$1,205.52	$1,205.52	$1,205.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $755.12 / $755.12 / $4,013.65	Facility		$755.12	$755.12	$4,013.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $629.32 / $1,064.22 / $1,696.81	Professional		$629.32	$1,064.22	$1,696.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $725.53 / $1,104.55 / $1,634.96	Professional		$725.53	$1,104.55	$1,634.96
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 $588.40 / $965.82 / $1,504.22	Professional		$588.40	$965.82	$1,504.22