Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,374.00 / $5,063.00 / $7,391.00	Facility		$1,374.00	$5,063.00	$7,391.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $805.74 / $985.21 / $1,959.19	Professional		$805.74	$985.21	$1,959.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,282.27 / $5,155.99 / $39,007.80	Facility		$1,282.27	$5,155.99	$39,007.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $895.98 / $1,304.39 / $2,326.54	Professional		$895.98	$1,304.39	$2,326.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,569.38 / $1,887.33 / $2,567.33	Facility		$1,569.38	$1,887.33	$2,567.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,048.16 / $1,048.16 / $1,048.16	Professional		$1,048.16	$1,048.16	$1,048.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $985.58 / $1,404.72 / $2,220.96	Professional		$985.58	$1,404.72	$2,220.96
United Facility/Professional Facility Modifier Low / Median / High Price $3,293.00 / $9,000.00 / $16,000.00	Facility		$3,293.00	$9,000.00	$16,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $792.98 / $1,211.46 / $2,032.67	Professional		$792.98	$1,211.46	$2,032.67