Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,041.64 / $4,368.00 / $6,915.00	Facility		$1,041.64	$4,368.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $842.39 / $1,023.74 / $1,342.93	Professional		$842.39	$1,023.74	$1,342.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $746.52 / $2,724.84 / $6,271.28	Facility		$746.52	$2,724.84	$6,271.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $711.07 / $1,110.58 / $2,058.54	Professional		$711.07	$1,110.58	$2,058.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,411.40 / $1,739.22 / $74,999.25	Facility		$1,411.40	$1,739.22	$74,999.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $551.00 / $1,732.09 / $2,181.15	Facility		$551.00	$1,732.09	$2,181.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $713.52 / $1,031.85 / $2,080.66	Professional		$713.52	$1,031.85	$2,080.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $908.24 / $1,255.83 / $6,660.33	Professional		$908.24	$1,255.83	$6,660.33
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 $695.12 / $954.63 / $1,982.65	Professional		$695.12	$954.63	$1,982.65