Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,404.74 / $5,063.00 / $12,390.00	Facility		$1,404.74	$5,063.00	$12,390.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $824.14 / $989.71 / $1,938.74	Professional		$824.14	$989.71	$1,938.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,206.01 / $5,634.28 / $21,112.96	Facility		$1,206.01	$5,634.28	$21,112.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $893.15 / $1,299.56 / $2,378.66	Professional		$893.15	$1,299.56	$2,378.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,601.27 / $1,929.83 / $2,625.12	Facility		$1,601.27	$1,929.83	$2,625.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $949.24 / $949.24 / $949.24	Professional		$949.24	$949.24	$949.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,007.78 / $1,423.36 / $2,270.98	Professional		$1,007.78	$1,423.36	$2,270.98
United Facility/Professional Facility Modifier Low / Median / High Price $2,845.00 / $7,766.00 / $11,889.00	Facility		$2,845.00	$7,766.00	$11,889.00
United Facility/Professional Professional Modifier Low / Median / High Price $810.16 / $1,224.64 / $2,077.13	Professional		$810.16	$1,224.64	$2,077.13