Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,022.54 / $5,045.00 / $6,915.00	Facility		$1,022.54	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $832.63 / $1,011.29 / $1,320.28	Professional		$832.63	$1,011.29	$1,320.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $875.94 / $2,795.56 / $6,271.28	Facility		$875.94	$2,795.56	$6,271.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $700.03 / $1,096.35 / $2,034.56	Professional		$700.03	$1,096.35	$2,034.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,394.21 / $1,718.72 / $74,999.25	Facility		$1,394.21	$1,718.72	$74,999.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.00 / $1,732.09 / $2,181.15	Facility		$630.00	$1,732.09	$2,181.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $704.74 / $1,016.86 / $2,056.25	Professional		$704.74	$1,016.86	$2,056.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $897.53 / $1,230.95 / $6,581.88	Professional		$897.53	$1,230.95	$6,581.88
United Facility/Professional Facility Modifier Low / Median / High Price $990.00 / $6,000.00 / $8,554.00	Facility		$990.00	$6,000.00	$8,554.00
United Facility/Professional Professional Modifier Low / Median / High Price $695.75 / $963.14 / $1,958.84	Professional		$695.75	$963.14	$1,958.84