Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,791.00 / $5,175.00 / $7,647.00	Facility		$1,791.00	$5,175.00	$7,647.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,408.04 / $1,467.35 / $1,516.71	Professional		$1,408.04	$1,467.35	$1,516.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,723.40 / $5,023.33 / $9,365.64	Facility		$1,723.40	$5,023.33	$9,365.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,536.30 / $1,536.30 / $3,369.86	Professional		$1,536.30	$1,536.30	$3,369.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,810.93 / $3,032.63 / $4,657.26	Facility		$2,810.93	$3,032.63	$4,657.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,226.08 / $9,226.08 / $9,226.08	Facility		$9,226.08	$9,226.08	$9,226.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,605.19 / $1,926.23 / $2,712.77	Professional		$1,605.19	$1,926.23	$2,712.77
United Facility/Professional Facility Modifier Low / Median / High Price $1,998.00 / $9,172.00 / $18,613.00	Facility		$1,998.00	$9,172.00	$18,613.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,616.94 / $2,317.48 / $3,687.31	Professional		$1,616.94	$2,317.48	$3,687.31