Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,295.17 / $4,817.00 / $6,915.00	Facility		$1,295.17	$4,817.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $740.18 / $889.42 / $1,735.65	Professional		$740.18	$889.42	$1,735.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,402.00 / $5,435.54 / $12,227.65	Facility		$1,402.00	$5,435.54	$12,227.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $809.88 / $1,195.89 / $2,131.51	Professional		$809.88	$1,195.89	$2,131.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,436.43 / $1,689.92 / $2,352.19	Facility		$1,436.43	$1,689.92	$2,352.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $934.05 / $934.05 / $4,830.16	Facility		$934.05	$934.05	$4,830.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.79 / $1,288.11 / $2,100.21	Professional		$870.79	$1,288.11	$2,100.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $902.99 / $1,289.53 / $2,034.87	Professional		$902.99	$1,289.53	$2,034.87
United Facility/Professional Facility Modifier Low / Median / High Price $2,845.00 / $7,356.00 / $11,889.00	Facility		$2,845.00	$7,356.00	$11,889.00
United Facility/Professional Professional Modifier Low / Median / High Price $727.02 / $1,111.92 / $1,861.84	Professional		$727.02	$1,111.92	$1,861.84