Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,064.69 / $5,045.00 / $6,915.00	Facility		$1,064.69	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $636.01 / $746.74 / $1,543.35	Professional		$636.01	$746.74	$1,543.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $992.53 / $2,628.21 / $5,240.56	Facility		$992.53	$2,628.21	$5,240.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $689.30 / $965.02 / $1,743.92	Professional		$689.30	$965.02	$1,743.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,284.51 / $1,364.94 / $2,096.16	Facility		$1,284.51	$1,364.94	$2,096.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,761.45 / $1,761.45 / $1,761.45	Facility		$1,761.45	$1,761.45	$1,761.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $722.95 / $1,124.72 / $1,793.88	Professional		$722.95	$1,124.72	$1,793.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $673.38 / $875.39 / $1,505.94	Professional		$673.38	$875.39	$1,505.94
United Facility/Professional Facility Modifier Low / Median / High Price $1,200.00 / $4,826.00 / $7,889.00	Facility		$1,200.00	$4,826.00	$7,889.00
United Facility/Professional Professional Modifier Low / Median / High Price $659.73 / $964.63 / $1,509.41	Professional		$659.73	$964.63	$1,509.41