Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,244.72 / $4,829.00 / $6,915.00	Facility		$1,244.72	$4,829.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $744.09 / $901.48 / $1,798.78	Professional		$744.09	$901.48	$1,798.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,402.00 / $5,435.54 / $12,227.65	Facility		$1,402.00	$5,435.54	$12,227.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $823.00 / $1,198.24 / $2,169.26	Professional		$823.00	$1,198.24	$2,169.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,458.26 / $1,758.78 / $2,392.46	Facility		$1,458.26	$1,758.78	$2,392.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $950.42 / $950.42 / $4,830.16	Facility		$950.42	$950.42	$4,830.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $852.62 / $1,294.72 / $2,130.89	Professional		$852.62	$1,294.72	$2,130.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $918.45 / $1,407.43 / $2,231.09	Professional		$918.45	$1,407.43	$2,231.09
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 $735.92 / $1,111.74 / $1,894.27	Professional		$735.92	$1,111.74	$1,894.27