Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,058.94 / $5,045.00 / $6,915.00	Facility		$1,058.94	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $613.90 / $789.41 / $1,460.60	Professional		$613.90	$789.41	$1,460.60
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 $713.68 / $1,059.58 / $1,885.91	Professional		$713.68	$1,059.58	$1,885.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,278.66 / $1,545.41 / $2,102.21	Facility		$1,278.66	$1,545.41	$2,102.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $835.48 / $835.48 / $2,172.58	Facility		$835.48	$835.48	$2,172.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $711.51 / $1,108.21 / $1,868.73	Professional		$711.51	$1,108.21	$1,868.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $807.03 / $1,229.46 / $1,818.59	Professional		$807.03	$1,229.46	$1,818.59
United Facility/Professional Facility Modifier Low / Median / High Price $2,845.00 / $7,357.00 / $11,889.00	Facility		$2,845.00	$7,357.00	$11,889.00
United Facility/Professional Professional Modifier Low / Median / High Price $644.20 / $1,014.88 / $1,664.07	Professional		$644.20	$1,014.88	$1,664.07