Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.17 / $4,829.00 / $6,915.00	Facility		$1,288.17	$4,829.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $748.75 / $897.75 / $1,742.49	Professional		$748.75	$897.75	$1,742.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,402.00 / $5,435.54 / $12,227.65	Facility		$1,402.00	$5,435.54	$12,227.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $831.32 / $1,200.20 / $2,158.90	Professional		$831.32	$1,200.20	$2,158.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,451.76 / $1,751.12 / $2,382.03	Facility		$1,451.76	$1,751.12	$2,382.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $946.32 / $946.32 / $4,830.16	Facility		$946.32	$946.32	$4,830.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $871.35 / $1,298.76 / $2,122.15	Professional		$871.35	$1,298.76	$2,122.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $914.45 / $1,285.78 / $2,099.11	Professional		$914.45	$1,285.78	$2,099.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,738.00 / $7,794.00 / $14,048.00	Facility		$1,738.00	$7,794.00	$14,048.00
United Facility/Professional Professional Modifier Low / Median / High Price $733.16 / $1,167.80 / $1,885.22	Professional		$733.16	$1,167.80	$1,885.22