Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,149.68 / $5,045.00 / $6,915.00	Facility		$1,149.68	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $648.39 / $777.09 / $1,514.45	Professional		$648.39	$777.09	$1,514.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,082.02 / $2,986.70 / $6,315.83	Facility		$1,082.02	$2,986.70	$6,315.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $720.85 / $1,041.83 / $1,872.10	Professional		$720.85	$1,041.83	$1,872.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,258.46 / $1,518.44 / $2,065.52	Facility		$1,258.46	$1,518.44	$2,065.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $820.59 / $820.59 / $4,830.16	Facility		$820.59	$820.59	$4,830.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $757.93 / $1,131.49 / $1,837.42	Professional		$757.93	$1,131.49	$1,837.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $792.94 / $1,214.15 / $1,786.86	Professional		$792.94	$1,214.15	$1,786.86
United Facility/Professional Facility Modifier Low / Median / High Price $3,293.00 / $8,947.00 / $16,000.00	Facility		$3,293.00	$8,947.00	$16,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $634.82 / $959.84 / $1,634.78	Professional		$634.82	$959.84	$1,634.78