Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,003.77 / $5,045.00 / $6,915.00	Facility		$1,003.77	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $587.96 / $703.71 / $1,365.46	Professional		$587.96	$703.71	$1,365.46
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 $631.97 / $919.50 / $1,699.27	Professional		$631.97	$919.50	$1,699.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,141.71 / $1,380.27 / $1,877.57	Facility		$1,141.71	$1,380.27	$1,877.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $746.20 / $746.20 / $6,282.92	Facility		$746.20	$746.20	$6,282.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $670.58 / $1,016.04 / $1,664.35	Professional		$670.58	$1,016.04	$1,664.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $720.79 / $1,090.20 / $1,624.27	Professional		$720.79	$1,090.20	$1,624.27
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 $574.26 / $865.67 / $1,483.86	Professional		$574.26	$865.67	$1,483.86