Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,239.70 / $5,045.00 / $6,915.00	Facility		$1,239.70	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $709.08 / $852.21 / $1,732.60	Professional		$709.08	$852.21	$1,732.60
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 $787.12 / $1,141.32 / $2,043.02	Professional		$787.12	$1,141.32	$2,043.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,376.36 / $1,619.25 / $2,255.42	Facility		$1,376.36	$1,619.25	$2,255.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $895.74 / $895.74 / $4,830.16	Facility		$895.74	$895.74	$4,830.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $834.68 / $1,229.83 / $2,011.20	Professional		$834.68	$1,229.83	$2,011.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $865.83 / $1,318.23 / $2,149.00	Professional		$865.83	$1,318.23	$2,149.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,738.00 / $7,794.00 / $14,048.00	Facility		$1,738.00	$7,794.00	$14,048.00
United Facility/Professional Professional Modifier Low / Median / High Price $696.35 / $1,063.70 / $1,784.04	Professional		$696.35	$1,063.70	$1,784.04