Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,031.86 / $5,045.00 / $6,915.00	Facility		$1,031.86	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $573.91 / $725.60 / $1,540.08	Professional		$573.91	$725.60	$1,540.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $992.53 / $2,628.21 / $5,240.56	Facility		$992.53	$2,628.21	$5,240.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $580.94 / $815.49 / $1,563.65	Professional		$580.94	$815.49	$1,563.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,102.91 / $1,202.79 / $1,847.15	Facility		$1,102.91	$1,202.79	$1,847.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,090.96 / $2,090.96 / $2,090.96	Facility		$2,090.96	$2,090.96	$2,090.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $666.71 / $986.70 / $1,646.40	Professional		$666.71	$986.70	$1,646.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $577.75 / $751.08 / $1,910.20	Professional		$577.75	$751.08	$1,910.20
United Facility/Professional Facility Modifier Low / Median / High Price $1,200.00 / $4,826.00 / $7,889.00	Facility		$1,200.00	$4,826.00	$7,889.00
United Facility/Professional Professional Modifier Low / Median / High Price $613.30 / $859.87 / $1,358.03	Professional		$613.30	$859.87	$1,358.03