Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,189.49 / $5,045.00 / $6,915.00	Facility		$1,189.49	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $637.87 / $791.72 / $1,497.42	Professional		$637.87	$791.72	$1,497.42
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 $724.85 / $1,087.20 / $1,963.79	Professional		$724.85	$1,087.20	$1,963.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,259.33 / $1,520.27 / $2,096.28	Facility		$1,259.33	$1,520.27	$2,096.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $821.71 / $821.71 / $4,830.16	Facility		$821.71	$821.71	$4,830.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $744.86 / $1,149.49 / $1,839.16	Professional		$744.86	$1,149.49	$1,839.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $793.89 / $1,218.74 / $1,789.02	Professional		$793.89	$1,218.74	$1,789.02
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 $636.23 / $1,054.40 / $1,750.46	Professional		$636.23	$1,054.40	$1,750.46