Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.41 / $1,380.41 / $3,687.25	Facility		$1,380.41	$1,380.41	$3,687.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,245.48 / $1,639.88 / $1,909.74	Professional		$1,245.48	$1,639.88	$1,909.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.91 / $2,075.80 / $2,661.89	Facility		$25.91	$2,075.80	$2,661.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.25 / $12.34 / $2,075.80	Professional		$9.25	$12.34	$2,075.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,349.27 / $2,906.12 / $4,461.51	Facility		$1,349.27	$2,906.12	$4,461.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,265.23 / $4,566.76 / $5,869.11	Facility		$3,265.23	$4,566.76	$5,869.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,075.73 / $2,385.08 / $2,981.34	Professional		$2,075.73	$2,385.08	$2,981.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,283.38 / $2,387.17 / $2,698.54	Professional		$2,283.38	$2,387.17	$2,698.54
United Facility/Professional Facility Modifier Low / Median / High Price $1,868.22 / $1,868.22 / $1,868.22	Facility		$1,868.22	$1,868.22	$1,868.22
United Facility/Professional Professional Modifier Low / Median / High Price $871.84 / $1,245.48 / $2,117.52	Professional		$871.84	$1,245.48	$2,117.52