Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,112.94 / $5,045.00 / $6,915.00	Facility		$1,112.94	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $882.18 / $1,075.21 / $1,525.73	Professional		$882.18	$1,075.21	$1,525.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $875.94 / $2,446.00 / $5,084.83	Facility		$875.94	$2,446.00	$5,084.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $750.42 / $1,169.48 / $2,151.31	Professional		$750.42	$1,169.48	$2,151.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,477.50 / $1,814.87 / $74,999.25	Facility		$1,477.50	$1,814.87	$74,999.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.00 / $1,119.77 / $1,410.08	Facility		$630.00	$1,119.77	$1,410.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $746.26 / $1,082.90 / $2,182.37	Professional		$746.26	$1,082.90	$2,182.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $947.74 / $1,346.78 / $6,972.52	Professional		$947.74	$1,346.78	$6,972.52
United Facility/Professional Facility Modifier Low / Median / High Price $1,180.00 / $4,581.00 / $7,647.00	Facility		$1,180.00	$4,581.00	$7,647.00
United Facility/Professional Professional Modifier Low / Median / High Price $757.11 / $1,032.02 / $2,069.88	Professional		$757.11	$1,032.02	$2,069.88