Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,194.07 / $5,063.00 / $7,631.00	Facility		$2,194.07	$5,063.00	$7,631.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,585.40 / $2,164.39 / $2,925.47	Professional		$1,585.40	$2,164.39	$2,925.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,277.69 / $6,369.70 / $12,332.18	Facility		$2,277.69	$6,369.70	$12,332.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,679.12 / $2,373.14 / $3,215.15	Professional		$1,679.12	$2,373.14	$3,215.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,365.84 / $4,049.97 / $6,081.12	Facility		$3,365.84	$4,049.97	$6,081.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,875.00 / $2,200.19 / $6,314.61	Facility		$1,875.00	$2,200.19	$6,314.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,090.13 / $9,085.99 / $9,162.82	Professional		$3,090.13	$9,085.99	$9,162.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,200.71 / $2,934.27 / $8,187.95	Professional		$2,200.71	$2,934.27	$8,187.95
United Facility/Professional Facility Modifier Low / Median / High Price $1,519.00 / $6,351.00 / $8,836.00	Facility		$1,519.00	$6,351.00	$8,836.00
United Facility/Professional Professional Modifier Low / Median / High Price $500.02 / $801.35 / $3,596.95	Professional		$500.02	$801.35	$3,596.95