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 $764.94 / $935.30 / $1,909.24	Professional		$764.94	$935.30	$1,909.24
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 $803.29 / $1,224.38 / $2,258.92	Professional		$803.29	$1,224.38	$2,258.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,319.33 / $1,319.33 / $1,319.33	Facility		$1,319.33	$1,319.33	$1,319.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $986.85 / $986.85 / $2,172.58	Facility		$986.85	$986.85	$2,172.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $864.50 / $1,285.35 / $2,231.13	Professional		$864.50	$1,285.35	$2,231.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $947.73 / $1,268.66 / $2,135.67	Professional		$947.73	$1,268.66	$2,135.67
United Facility/Professional Facility Modifier Low / Median / High Price $1,075.00 / $4,826.00 / $7,889.00	Facility		$1,075.00	$4,826.00	$7,889.00
United Facility/Professional Professional Modifier Low / Median / High Price $744.51 / $1,123.85 / $1,972.56	Professional		$744.51	$1,123.85	$1,972.56