Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,051.35 / $5,063.00 / $7,421.00	Facility		$1,051.35	$5,063.00	$7,421.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $603.79 / $790.97 / $1,449.03	Professional		$603.79	$790.97	$1,449.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,282.27 / $5,155.99 / $21,657.35	Facility		$1,282.27	$5,155.99	$21,657.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $707.91 / $1,013.02 / $1,767.63	Professional		$707.91	$1,013.02	$1,767.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,258.46 / $1,518.44 / $2,065.52	Facility		$1,258.46	$1,518.44	$2,065.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $820.59 / $2,500.00	Facility		$500.00	$820.59	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $662.51 / $1,091.47 / $1,837.42	Professional		$662.51	$1,091.47	$1,837.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $792.94 / $1,129.48 / $1,786.85	Professional		$792.94	$1,129.48	$1,786.85
United Facility/Professional Facility Modifier Low / Median / High Price $1,998.00 / $9,172.00 / $18,613.00	Facility		$1,998.00	$9,172.00	$18,613.00
United Facility/Professional Professional Modifier Low / Median / High Price $634.82 / $990.01 / $1,634.78	Professional		$634.82	$990.01	$1,634.78