Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,791.00 / $5,045.00 / $6,915.00	Facility		$1,791.00	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $963.11 / $1,090.54 / $1,404.46	Professional		$963.11	$1,090.54	$1,404.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $992.53 / $2,628.21 / $5,240.56	Facility		$992.53	$2,628.21	$5,240.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $908.99 / $1,199.58 / $2,410.01	Professional		$908.99	$1,199.58	$2,410.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,938.06 / $2,113.35 / $2,743.49	Facility		$1,938.06	$2,113.35	$2,743.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $909.31 / $1,188.58 / $2,196.84	Professional		$909.31	$1,188.58	$2,196.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,327.51 / $1,387.85 / $1,815.19	Professional		$1,327.51	$1,387.85	$1,815.19
United Facility/Professional Facility Modifier Low / Median / High Price $1,036.00 / $3,250.00 / $5,272.00	Facility		$1,036.00	$3,250.00	$5,272.00
United Facility/Professional Professional Modifier Low / Median / High Price $970.33 / $1,404.02 / $2,844.46	Professional		$970.33	$1,404.02	$2,844.46