Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.00 / $5,045.00 / $6,915.00	Facility		$1,202.00	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $735.83 / $898.85 / $1,646.81	Professional		$735.83	$898.85	$1,646.81
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 $783.96 / $1,176.75 / $2,174.67	Professional		$783.96	$1,176.75	$2,174.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,269.14 / $1,269.14 / $1,269.14	Facility		$1,269.14	$1,269.14	$1,269.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $950.32 / $950.32 / $2,172.58	Facility		$950.32	$950.32	$2,172.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $822.65 / $1,221.91 / $2,148.04	Professional		$822.65	$1,221.91	$2,148.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $911.99 / $1,266.00 / $2,055.16	Professional		$911.99	$1,266.00	$2,055.16
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 $714.45 / $1,101.74 / $1,885.25	Professional		$714.45	$1,101.74	$1,885.25