Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,125.14 / $4,368.00 / $6,915.00	Facility		$1,125.14	$4,368.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $697.71 / $871.00 / $1,574.75	Professional		$697.71	$871.00	$1,574.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $2,795.56 / $6,315.83	Facility		$964.00	$2,795.56	$6,315.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $747.68 / $1,135.16 / $2,088.54	Professional		$747.68	$1,135.16	$2,088.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,120.07 / $1,120.07 / $1,120.07	Facility		$1,120.07	$1,120.07	$1,120.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $927.20 / $2,172.58	Facility		$860.00	$927.20	$2,172.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $781.64 / $1,156.40 / $2,093.10	Professional		$781.64	$1,156.40	$2,093.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $892.74 / $1,217.36 / $2,011.79	Professional		$892.74	$1,217.36	$2,011.79
United Facility/Professional Facility Modifier Low / Median / High Price $625.00 / $3,218.00 / $5,272.00	Facility		$625.00	$3,218.00	$5,272.00
United Facility/Professional Professional Modifier Low / Median / High Price $675.20 / $1,001.81 / $1,854.55	Professional		$675.20	$1,001.81	$1,854.55