Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,223.58 / $5,045.00 / $6,915.00	Facility		$1,223.58	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $763.09 / $929.36 / $1,734.82	Professional		$763.09	$929.36	$1,734.82
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 $798.51 / $1,220.26 / $2,246.01	Professional		$798.51	$1,220.26	$2,246.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,474.47 / $1,804.56 / $2,454.73	Facility		$1,474.47	$1,804.56	$2,454.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $981.27 / $981.27 / $2,172.58	Facility		$981.27	$981.27	$2,172.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $862.79 / $1,274.45 / $2,218.82	Professional		$862.79	$1,274.45	$2,218.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $942.36 / $1,339.00 / $2,123.57	Professional		$942.36	$1,339.00	$2,123.57
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 $740.21 / $1,114.46 / $1,961.29	Professional		$740.21	$1,114.46	$1,961.29