Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,346.60 / $4,829.00 / $6,915.00	Facility		$1,346.60	$4,829.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $785.31 / $942.02 / $1,829.89	Professional		$785.31	$942.02	$1,829.89
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 $855.93 / $1,258.54 / $2,262.07	Professional		$855.93	$1,258.54	$2,262.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,521.09 / $1,833.27 / $2,493.78	Facility		$1,521.09	$1,833.27	$2,493.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $990.60 / $990.60 / $2,172.58	Facility		$990.60	$990.60	$2,172.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $908.56 / $1,367.69 / $2,226.87	Professional		$908.56	$1,367.69	$2,226.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $957.34 / $1,364.06 / $2,157.34	Professional		$957.34	$1,364.06	$2,157.34
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 $768.75 / $1,174.28 / $1,975.32	Professional		$768.75	$1,174.28	$1,975.32