Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,915.08 / $5,063.00 / $6,915.00	Facility		$2,915.08	$5,063.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,341.38 / $3,090.80 / $5,849.07	Professional		$2,341.38	$3,090.80	$5,849.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,402.00 / $5,516.40 / $12,227.65	Facility		$1,402.00	$5,516.40	$12,227.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,723.57 / $3,946.30 / $7,034.72	Professional		$2,723.57	$3,946.30	$7,034.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,123.68 / $4,123.68 / $4,123.68	Facility		$4,123.68	$4,123.68	$4,123.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,200.00 / $3,209.63 / $4,830.16	Facility		$1,200.00	$3,209.63	$4,830.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,755.81 / $4,287.35 / $7,272.92	Professional		$2,755.81	$4,287.35	$7,272.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,084.53 / $4,206.18 / $6,950.92	Professional		$3,084.53	$4,206.18	$6,950.92
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 $2,427.17 / $3,690.91 / $6,368.36	Professional		$2,427.17	$3,690.91	$6,368.36