Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,464.08 / $1,464.08 / $3,910.74	Facility		$1,464.08	$1,464.08	$3,910.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,320.97 / $1,739.28 / $2,025.49	Professional		$1,320.97	$1,739.28	$2,025.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.91 / $2,201.62 / $2,823.23	Facility		$25.91	$2,201.62	$2,823.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.25 / $12.34 / $2,201.62	Professional		$9.25	$12.34	$2,201.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,431.05 / $3,082.27 / $4,731.93	Facility		$1,431.05	$3,082.27	$4,731.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,463.15 / $4,843.56 / $6,225.60	Facility		$3,463.15	$4,843.56	$6,225.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,201.69 / $2,529.63 / $3,162.03	Professional		$2,201.69	$2,529.63	$3,162.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,421.78 / $2,531.86 / $2,862.11	Professional		$2,421.78	$2,531.86	$2,862.11
United Facility/Professional Professional Modifier Low / Median / High Price $924.68 / $1,320.97 / $3,853.94	Professional		$924.68	$1,320.97	$3,853.94