Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,278.90 / $5,045.00 / $6,915.00	Facility		$1,278.90	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $766.72 / $869.40 / $1,912.15	Professional		$766.72	$869.40	$1,912.15
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 $811.78 / $1,161.59 / $2,099.19	Professional		$811.78	$1,161.59	$2,099.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,549.67 / $1,648.98 / $2,532.36	Facility		$1,549.67	$1,648.98	$2,532.36
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 $875.12 / $1,351.59 / $2,159.33	Professional		$875.12	$1,351.59	$2,159.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $811.78 / $1,055.31 / $1,871.26	Professional		$811.78	$1,055.31	$1,871.26
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 $849.17 / $1,108.33 / $1,780.36	Professional		$849.17	$1,108.33	$1,780.36