Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,135.51 / $5,045.00 / $6,915.00	Facility		$1,135.51	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $904.93 / $1,102.47 / $1,707.64	Professional		$904.93	$1,102.47	$1,707.64
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 $773.07 / $1,185.33 / $2,210.25	Professional		$773.07	$1,185.33	$2,210.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,520.00 / $1,871.13 / $74,999.25	Facility		$1,520.00	$1,871.13	$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 $766.83 / $1,114.30 / $2,236.54	Professional		$766.83	$1,114.30	$2,236.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $977.12 / $1,350.15 / $7,164.34	Professional		$977.12	$1,350.15	$7,164.34
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 $777.81 / $1,060.59 / $1,977.87	Professional		$777.81	$1,060.59	$1,977.87