Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,060.36 / $4,592.00 / $6,915.00	Facility		$1,060.36	$4,592.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $704.67 / $886.86 / $1,564.93	Professional		$704.67	$886.86	$1,564.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,140.78 / $3,272.95 / $6,339.18	Facility		$1,140.78	$3,272.95	$6,339.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $765.00 / $1,134.31 / $2,168.79	Professional		$765.00	$1,134.31	$2,168.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,384.71 / $1,668.89 / $2,270.17	Facility		$1,384.71	$1,668.89	$2,270.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $901.69 / $2,172.58	Facility		$860.00	$901.69	$2,172.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $807.55 / $1,233.38 / $2,211.76	Professional		$807.55	$1,233.38	$2,211.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $911.12 / $1,267.65 / $2,291.25	Professional		$911.12	$1,267.65	$2,291.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,800.00 / $6,206.00 / $8,554.00	Facility		$1,800.00	$6,206.00	$8,554.00
United Facility/Professional Professional Modifier Low / Median / High Price $698.25 / $1,059.33 / $1,842.37	Professional		$698.25	$1,059.33	$1,842.37