Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,268.11 / $5,045.00 / $6,915.00	Facility		$1,268.11	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $667.58 / $814.44 / $1,568.22	Professional		$667.58	$814.44	$1,568.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,206.01 / $5,625.09 / $13,137.87	Facility		$1,206.01	$5,625.09	$13,137.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $744.87 / $1,130.00 / $2,017.99	Professional		$744.87	$1,130.00	$2,017.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,296.50 / $1,563.45 / $2,202.30	Facility		$1,296.50	$1,563.45	$2,202.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $844.78 / $844.78 / $11,566.82	Facility		$844.78	$844.78	$11,566.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $798.91 / $1,211.56 / $1,892.36	Professional		$798.91	$1,211.56	$1,892.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $816.45 / $1,254.03 / $1,839.86	Professional		$816.45	$1,254.03	$1,839.86
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 $654.02 / $1,070.64 / $1,698.34	Professional		$654.02	$1,070.64	$1,698.34