Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,170.84 / $5,063.00 / $6,915.00	Facility		$1,170.84	$5,063.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $670.43 / $841.63 / $1,427.11	Professional		$670.43	$841.63	$1,427.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $996.37 / $2,722.51 / $5,292.58	Facility		$996.37	$2,722.51	$5,292.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $674.97 / $950.68 / $1,777.60	Professional		$674.97	$950.68	$1,777.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,288.49 / $1,406.27 / $2,159.63	Facility		$1,288.49	$1,406.27	$2,159.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,212.51 / $1,212.51 / $1,212.51	Facility		$1,212.51	$1,212.51	$1,212.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.89 / $1,149.22 / $1,945.82	Professional		$776.89	$1,149.22	$1,945.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $674.97 / $877.46 / $1,705.04	Professional		$674.97	$877.46	$1,705.04
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 $715.36 / $1,000.80 / $1,654.50	Professional		$715.36	$1,000.80	$1,654.50