Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,352.00 / $5,045.00 / $6,915.00	Facility		$1,352.00	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $727.96 / $871.82 / $1,950.05	Professional		$727.96	$871.82	$1,950.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $878.93 / $2,533.21 / $5,240.56	Facility		$878.93	$2,533.21	$5,240.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $776.75 / $1,205.10 / $2,112.29	Professional		$776.75	$1,205.10	$2,112.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,378.13 / $1,652.33 / $2,247.65	Facility		$1,378.13	$1,652.33	$2,247.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $897.23 / $897.23 / $1,918.46	Facility		$897.23	$897.23	$1,918.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $881.13 / $1,398.61 / $2,030.30	Professional		$881.13	$1,398.61	$2,030.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $862.85 / $1,325.65 / $2,073.27	Professional		$862.85	$1,325.65	$2,073.27
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 $749.50 / $1,231.93 / $1,868.94	Professional		$749.50	$1,231.93	$1,868.94