Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,054.41 / $5,045.00 / $6,915.00	Facility		$1,054.41	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $564.86 / $670.71 / $1,420.41	Professional		$564.86	$670.71	$1,420.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,082.02 / $2,986.70 / $6,315.83	Facility		$1,082.02	$2,986.70	$6,315.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $616.84 / $904.82 / $1,595.92	Professional		$616.84	$904.82	$1,595.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,092.05 / $1,313.40 / $1,786.61	Facility		$1,092.05	$1,313.40	$1,786.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $711.98 / $711.98 / $6,122.06	Facility		$711.98	$711.98	$6,122.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $687.01 / $1,003.33 / $1,592.78	Professional		$687.01	$1,003.33	$1,592.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $685.87 / $1,013.73 / $1,545.60	Professional		$685.87	$1,013.73	$1,545.60
United Facility/Professional Facility Modifier Low / Median / High Price $1,075.00 / $4,826.00 / $7,889.00	Facility		$1,075.00	$4,826.00	$7,889.00
United Facility/Professional Professional Modifier Low / Median / High Price $558.61 / $873.95 / $1,404.23	Professional		$558.61	$873.95	$1,404.23