Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,063.08 / $4,817.00 / $6,915.00	Facility		$1,063.08	$4,817.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $664.12 / $807.68 / $1,647.67	Professional		$664.12	$807.68	$1,647.67
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 $696.12 / $1,061.33 / $1,961.36	Professional		$696.12	$1,061.33	$1,961.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,144.94 / $1,144.94 / $1,144.94	Facility		$1,144.94	$1,144.94	$1,144.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $857.48 / $857.48 / $2,172.58	Facility		$857.48	$857.48	$2,172.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $730.76 / $1,092.59 / $1,933.26	Professional		$730.76	$1,092.59	$1,933.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $819.79 / $1,141.00 / $1,847.35	Professional		$819.79	$1,141.00	$1,847.35
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 $639.91 / $987.82 / $1,678.40	Professional		$639.91	$987.82	$1,678.40