Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,078.08 / $4,368.00 / $6,915.00	Facility		$1,078.08	$4,368.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $659.91 / $841.34 / $2,042.97	Professional		$659.91	$841.34	$2,042.97
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 $743.08 / $1,095.11 / $2,010.14	Professional		$743.08	$1,095.11	$2,010.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,360.34 / $1,599.47 / $2,232.15	Facility		$1,360.34	$1,599.47	$2,232.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $886.81 / $2,172.58	Facility		$860.00	$886.81	$2,172.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $752.91 / $1,191.20 / $2,011.49	Professional		$752.91	$1,191.20	$2,011.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $856.91 / $1,189.02 / $2,640.43	Professional		$856.91	$1,189.02	$2,640.43
United Facility/Professional Facility Modifier Low / Median / High Price $1,738.00 / $7,794.00 / $14,048.00	Facility		$1,738.00	$7,794.00	$14,048.00
United Facility/Professional Professional Modifier Low / Median / High Price $682.77 / $1,038.77 / $1,767.26	Professional		$682.77	$1,038.77	$1,767.26