Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,082.95 / $5,045.00 / $6,915.00	Facility		$1,082.95	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $665.77 / $798.64 / $1,556.39	Professional		$665.77	$798.64	$1,556.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,206.01 / $5,435.54 / $12,227.65	Facility		$1,206.01	$5,435.54	$12,227.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $714.29 / $1,062.29 / $1,921.96	Professional		$714.29	$1,062.29	$1,921.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,292.31 / $1,520.36 / $2,120.04	Facility		$1,292.31	$1,520.36	$2,120.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.17 / $842.17 / $4,830.16	Facility		$842.17	$842.17	$4,830.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $766.92 / $1,153.90 / $1,887.17	Professional		$766.92	$1,153.90	$1,887.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $813.87 / $1,230.41 / $1,834.04	Professional		$813.87	$1,230.41	$1,834.04
United Facility/Professional Facility Modifier Low / Median / High Price $1,519.00 / $6,351.00 / $8,836.00	Facility		$1,519.00	$6,351.00	$8,836.00
United Facility/Professional Professional Modifier Low / Median / High Price $652.79 / $998.39 / $1,710.73	Professional		$652.79	$998.39	$1,710.73