Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,362.59 / $5,045.00 / $6,915.00	Facility		$1,362.59	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $767.91 / $971.88 / $1,638.36	Professional		$767.91	$971.88	$1,638.36
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 $776.55 / $1,088.47 / $2,044.78	Professional		$776.55	$1,088.47	$2,044.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,474.25 / $1,610.82 / $2,473.77	Facility		$1,474.25	$1,610.82	$2,473.77
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 $902.41 / $1,315.28 / $2,232.77	Professional		$902.41	$1,315.28	$2,232.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $772.28 / $1,003.96 / $1,761.09	Professional		$772.28	$1,003.96	$1,761.09
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 $820.29 / $1,171.20 / $1,892.01	Professional		$820.29	$1,171.20	$1,892.01