Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,208.55 / $5,063.00 / $7,391.00	Facility		$1,208.55	$5,063.00	$7,391.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $685.36 / $822.69 / $1,759.75	Professional		$685.36	$822.69	$1,759.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,240.00 / $3,851.83 / $8,545.91	Facility		$1,240.00	$3,851.83	$8,545.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $734.90 / $1,088.51 / $1,945.88	Professional		$734.90	$1,088.51	$1,945.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,322.28 / $1,322.28 / $1,322.28	Facility		$1,322.28	$1,322.28	$1,322.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $853.33 / $853.33 / $4,013.65	Facility		$853.33	$853.33	$4,013.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $755.72 / $1,201.45 / $1,924.92	Professional		$755.72	$1,201.45	$1,924.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $820.47 / $1,254.76 / $1,848.93	Professional		$820.47	$1,254.76	$1,848.93
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 $653.40 / $1,095.60 / $1,699.21	Professional		$653.40	$1,095.60	$1,699.21