Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,146.98 / $5,045.00 / $6,915.00	Facility		$1,146.98	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $950.70 / $1,184.03 / $1,646.42	Professional		$950.70	$1,184.03	$1,646.42
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 $848.68 / $1,278.80 / $2,384.56	Professional		$848.68	$1,278.80	$2,384.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,629.41 / $1,916.94 / $74,999.25	Facility		$1,629.41	$1,916.94	$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 $857.59 / $1,281.78 / $2,434.11	Professional		$857.59	$1,281.78	$2,434.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,037.28 / $1,503.62 / $7,614.42	Professional		$1,037.28	$1,503.62	$7,614.42
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 $852.47 / $1,137.88 / $2,098.86	Professional		$852.47	$1,137.88	$2,098.86