Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,061.16 / $5,045.00 / $6,915.00	Facility		$1,061.16	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $631.63 / $759.93 / $1,637.38	Professional		$631.63	$759.93	$1,637.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,282.27 / $4,701.47 / $17,934.25	Facility		$1,282.27	$4,701.47	$17,934.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $663.38 / $975.39 / $1,764.73	Professional		$663.38	$975.39	$1,764.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,055.78 / $1,055.78 / $1,055.78	Facility		$1,055.78	$1,055.78	$1,055.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $778.94 / $2,500.00	Facility		$500.00	$778.94	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $658.22 / $1,109.46 / $1,761.61	Professional		$658.22	$1,109.46	$1,761.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $747.22 / $1,141.07 / $1,683.85	Professional		$747.22	$1,141.07	$1,683.85
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 $610.29 / $968.77 / $1,541.02	Professional		$610.29	$968.77	$1,541.02