Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,200.20 / $5,045.00 / $6,915.00	Facility		$1,200.20	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $940.42 / $1,147.89 / $1,549.67	Professional		$940.42	$1,147.89	$1,549.67
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 $828.25 / $1,254.72 / $2,308.32	Professional		$828.25	$1,254.72	$2,308.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,584.98 / $1,948.65 / $74,999.25	Facility		$1,584.98	$1,948.65	$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 $802.38 / $1,166.86 / $2,325.65	Professional		$802.38	$1,166.86	$2,325.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,017.60 / $1,448.83 / $7,450.38	Professional		$1,017.60	$1,448.83	$7,450.38
United Facility/Professional Facility Modifier Low / Median / High Price $1,028.00 / $6,000.00 / $8,554.00	Facility		$1,028.00	$6,000.00	$8,554.00
United Facility/Professional Professional Modifier Low / Median / High Price $821.11 / $1,080.68 / $1,975.30	Professional		$821.11	$1,080.68	$1,975.30