Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,309.93 / $5,045.00 / $6,915.00	Facility		$1,309.93	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $793.65 / $973.31 / $1,747.97	Professional		$793.65	$973.31	$1,747.97
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 $826.30 / $1,272.18 / $2,350.98	Professional		$826.30	$1,272.18	$2,350.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,380.65 / $1,380.65 / $1,380.65	Facility		$1,380.65	$1,380.65	$1,380.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,026.75 / $2,172.58	Facility		$1,000.00	$1,026.75	$2,172.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $902.09 / $1,343.57 / $2,323.63	Professional		$902.09	$1,343.57	$2,323.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $984.45 / $1,373.00 / $2,218.44	Professional		$984.45	$1,373.00	$2,218.44
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 $765.06 / $1,234.11 / $2,052.96	Professional		$765.06	$1,234.11	$2,052.96