Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,065.80 / $5,063.00 / $12,390.00	Facility		$1,065.80	$5,063.00	$12,390.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $620.88 / $759.21 / $1,476.62	Professional		$620.88	$759.21	$1,476.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $875.94 / $5,033.71 / $21,112.96	Facility		$875.94	$5,033.71	$21,112.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $679.95 / $992.88 / $1,830.69	Professional		$679.95	$992.88	$1,830.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,229.01 / $1,484.34 / $2,019.15	Facility		$1,229.01	$1,484.34	$2,019.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $802.37 / $802.37 / $4,830.16	Facility		$802.37	$802.37	$4,830.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $720.05 / $1,072.93 / $1,792.96	Professional		$720.05	$1,072.93	$1,792.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $775.14 / $1,087.20 / $1,746.75	Professional		$775.14	$1,087.20	$1,746.75
United Facility/Professional Facility Modifier Low / Median / High Price $1,519.00 / $6,351.00 / $8,836.00	Facility		$1,519.00	$6,351.00	$8,836.00
United Facility/Professional Professional Modifier Low / Median / High Price $619.79 / $936.37 / $1,598.62	Professional		$619.79	$936.37	$1,598.62