Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,254.31 / $4,829.00 / $6,915.00	Facility		$1,254.31	$4,829.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $677.68 / $803.71 / $1,690.85	Professional		$677.68	$803.71	$1,690.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,039.14 / $2,706.44 / $5,240.56	Facility		$1,039.14	$2,706.44	$5,240.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $748.91 / $1,094.39 / $1,942.14	Professional		$748.91	$1,094.39	$1,942.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,217.77 / $1,217.77 / $1,217.77	Facility		$1,217.77	$1,217.77	$1,217.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $855.48 / $855.48 / $1,918.46	Facility		$855.48	$855.48	$1,918.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $815.74 / $1,220.99 / $1,925.73	Professional		$815.74	$1,220.99	$1,925.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $819.25 / $1,258.66 / $2,097.21	Professional		$819.25	$1,258.66	$2,097.21
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 $664.06 / $1,070.77 / $1,695.94	Professional		$664.06	$1,070.77	$1,695.94