Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,093.93 / $4,829.00 / $6,915.00	Facility		$1,093.93	$4,829.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $726.58 / $915.91 / $1,605.41	Professional		$726.58	$915.91	$1,605.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,082.02 / $3,088.55 / $6,315.83	Facility		$1,082.02	$3,088.55	$6,315.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $753.88 / $1,192.22 / $2,067.98	Professional		$753.88	$1,192.22	$2,067.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,172.26 / $1,172.26 / $1,172.26	Facility		$1,172.26	$1,172.26	$1,172.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $963.00 / $963.00 / $2,172.58	Facility		$963.00	$963.00	$2,172.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $779.35 / $1,152.15 / $2,146.15	Professional		$779.35	$1,152.15	$2,146.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $921.42 / $1,256.48 / $2,076.40	Professional		$921.42	$1,256.48	$2,076.40
United Facility/Professional Facility Modifier Low / Median / High Price $1,519.00 / $6,351.00 / $8,836.00	Facility		$1,519.00	$6,351.00	$8,836.00
United Facility/Professional Professional Modifier Low / Median / High Price $690.11 / $1,051.15 / $2,004.11	Professional		$690.11	$1,051.15	$2,004.11