Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.00 / $3,391.00 / $6,915.00	Facility		$1,202.00	$3,391.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $773.07 / $882.06 / $1,962.63	Professional		$773.07	$882.06	$1,962.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $775.91 / $2,322.50 / $5,240.56	Facility		$775.91	$2,322.50	$5,240.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $833.96 / $1,167.54 / $2,109.92	Professional		$833.96	$1,167.54	$2,109.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,562.12 / $1,670.30 / $2,565.11	Facility		$1,562.12	$1,670.30	$2,565.11
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 $903.68 / $1,338.29 / $2,170.36	Professional		$903.68	$1,338.29	$2,170.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $818.31 / $1,063.80 / $1,506.32	Professional		$818.31	$1,063.80	$1,506.32
United Facility/Professional Facility Modifier Low / Median / High Price $1,738.00 / $7,794.00 / $14,048.00	Facility		$1,738.00	$7,794.00	$14,048.00
United Facility/Professional Professional Modifier Low / Median / High Price $865.80 / $1,238.08 / $2,007.96	Professional		$865.80	$1,238.08	$2,007.96