Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $5,045.00 / $6,915.00	Facility		$1,204.00	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $738.33 / $902.57 / $1,655.46	Professional		$738.33	$902.57	$1,655.46
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 $773.31 / $1,181.90 / $2,184.19	Professional		$773.31	$1,181.90	$2,184.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,284.40 / $1,284.40 / $1,284.40	Facility		$1,284.40	$1,284.40	$1,284.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $954.42 / $954.42 / $2,172.58	Facility		$954.42	$954.42	$2,172.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $832.90 / $1,235.01 / $2,155.96	Professional		$832.90	$1,235.01	$2,155.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $915.60 / $1,282.00 / $2,063.27	Professional		$915.60	$1,282.00	$2,063.27
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 $717.52 / $1,110.68 / $1,874.56	Professional		$717.52	$1,110.68	$1,874.56