Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.19 / $5,045.00 / $6,915.00	Facility		$1,819.19	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,592.77 / $1,922.59 / $3,894.56	Professional		$1,592.77	$1,922.59	$3,894.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $2,634.62 / $5,292.58	Facility		$964.00	$2,634.62	$5,292.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,764.33 / $2,701.77 / $4,797.88	Professional		$1,764.33	$2,701.77	$4,797.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,670.28 / $3,670.28 / $3,670.28	Facility		$3,670.28	$3,670.28	$3,670.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,153.31 / $2,004.00	Facility		$1,000.00	$1,153.31	$2,004.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,931.46 / $2,851.57 / $4,555.74	Professional		$1,931.46	$2,851.57	$4,555.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,930.29 / $2,827.09 / $4,349.89	Professional		$1,930.29	$2,827.09	$4,349.89
United Facility/Professional Facility Modifier Low / Median / High Price $1,075.00 / $4,826.00 / $7,889.00	Facility		$1,075.00	$4,826.00	$7,889.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,592.87 / $2,641.32 / $4,057.19	Professional		$1,592.87	$2,641.32	$4,057.19