Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,109.64 / $4,368.00 / $6,915.00	Facility		$1,109.64	$4,368.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $602.05 / $766.62 / $1,719.93	Professional		$602.05	$766.62	$1,719.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $2,795.56 / $6,315.83	Facility		$964.00	$2,795.56	$6,315.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $685.56 / $1,037.05 / $1,936.52	Professional		$685.56	$1,037.05	$1,936.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,240.46 / $1,459.35 / $2,036.43	Facility		$1,240.46	$1,459.35	$2,036.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $809.07 / $809.07 / $2,172.58	Facility		$809.07	$809.07	$2,172.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $711.57 / $1,106.81 / $1,811.20	Professional		$711.57	$1,106.81	$1,811.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $781.78 / $1,091.95 / $2,222.92	Professional		$781.78	$1,091.95	$2,222.92
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 $626.71 / $963.36 / $1,646.96	Professional		$626.71	$963.36	$1,646.96