Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,105.10 / $3,391.00 / $6,915.00	Facility		$1,105.10	$3,391.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $649.63 / $778.62 / $1,518.13	Professional		$649.63	$778.62	$1,518.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $741.08 / $2,795.56 / $6,315.83	Facility		$741.08	$2,795.56	$6,315.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $708.08 / $1,047.09 / $1,876.45	Professional		$708.08	$1,047.09	$1,876.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,260.78 / $1,521.15 / $2,069.21	Facility		$1,260.78	$1,521.15	$2,069.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $822.09 / $2,172.58	Facility		$640.00	$822.09	$2,172.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $745.76 / $1,127.74 / $1,840.97	Professional		$745.76	$1,127.74	$1,840.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $794.35 / $1,217.98 / $1,790.06	Professional		$794.35	$1,217.98	$1,790.06
United Facility/Professional Facility Modifier Low / Median / High Price $1,800.00 / $6,206.00 / $8,554.00	Facility		$1,800.00	$6,206.00	$8,554.00
United Facility/Professional Professional Modifier Low / Median / High Price $637.14 / $952.72 / $1,638.58	Professional		$637.14	$952.72	$1,638.58