Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,575.00 / $4,368.00 / $6,915.00	Facility		$1,575.00	$4,368.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,136.58 / $1,367.50 / $3,739.14	Professional		$1,136.58	$1,367.50	$3,739.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $989.09 / $3,392.46 / $8,545.91	Facility		$989.09	$3,392.46	$8,545.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,194.32 / $1,848.78 / $3,135.83	Professional		$1,194.32	$1,848.78	$3,135.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,045.38 / $2,045.38 / $2,045.38	Facility		$2,045.38	$2,045.38	$2,045.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,370.78 / $4,013.65	Facility		$860.00	$1,370.78	$4,013.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,299.93 / $2,076.80 / $3,210.27	Professional		$1,299.93	$2,076.80	$3,210.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,311.30 / $2,014.63 / $5,401.75	Professional		$1,311.30	$2,014.63	$5,401.75
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 $1,140.74 / $1,817.02 / $2,746.06	Professional		$1,140.74	$1,817.02	$2,746.06