Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,029.04 / $5,045.00 / $6,915.00	Facility		$1,029.04	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $641.75 / $775.88 / $1,678.45	Professional		$641.75	$775.88	$1,678.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,478.38 / $5,842.74 / $17,934.25	Facility		$1,478.38	$5,842.74	$17,934.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $684.62 / $989.98 / $1,828.10	Professional		$684.62	$989.98	$1,828.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,029.25 / $1,029.25 / $1,029.25	Facility		$1,029.25	$1,029.25	$1,029.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $804.98 / $2,500.00	Facility		$500.00	$804.98	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $706.51 / $1,100.67 / $1,827.24	Professional		$706.51	$1,100.67	$1,827.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $776.12 / $1,073.59 / $2,081.86	Professional		$776.12	$1,073.59	$2,081.86
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 $636.01 / $940.29 / $1,597.60	Professional		$636.01	$940.29	$1,597.60