Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,031.74 / $5,045.00 / $6,915.00	Facility		$1,031.74	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $888.72 / $1,088.26 / $2,050.00	Professional		$888.72	$1,088.26	$2,050.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,140.78 / $3,272.95 / $6,339.18	Facility		$1,140.78	$3,272.95	$6,339.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $979.32 / $1,404.21 / $2,577.73	Professional		$979.32	$1,404.21	$2,577.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,754.06 / $2,104.50 / $2,862.75	Facility		$1,754.06	$2,104.50	$2,862.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,137.59 / $1,137.59 / $2,500.00	Facility		$1,137.59	$1,137.59	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $975.90 / $1,565.40 / $2,566.86	Professional		$975.90	$1,565.40	$2,566.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,098.99 / $1,498.62 / $2,476.55	Professional		$1,098.99	$1,498.62	$2,476.55
United Facility/Professional Facility Modifier Low / Median / High Price $1,738.00 / $7,794.00 / $14,048.00	Facility		$1,738.00	$7,794.00	$14,048.00
United Facility/Professional Professional Modifier Low / Median / High Price $890.39 / $1,327.13 / $2,266.05	Professional		$890.39	$1,327.13	$2,266.05