Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,215.65 / $5,045.00 / $6,915.00	Facility		$1,215.65	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $704.21 / $861.01 / $1,738.14	Professional		$704.21	$861.01	$1,738.14
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 $759.00 / $1,122.08 / $2,030.12	Professional		$759.00	$1,122.08	$2,030.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,181.55 / $1,181.55 / $1,181.55	Facility		$1,181.55	$1,181.55	$1,181.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $890.16 / $890.16 / $4,830.16	Facility		$890.16	$890.16	$4,830.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $821.45 / $1,223.82 / $1,997.26	Professional		$821.45	$1,223.82	$1,997.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $860.45 / $1,295.45 / $2,066.86	Professional		$860.45	$1,295.45	$2,066.86
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 $691.75 / $1,080.93 / $1,772.77	Professional		$691.75	$1,080.93	$1,772.77