Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,382.98 / $2,321.98 / $3,432.96	Facility		$1,382.98	$2,321.98	$3,432.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,382.98 / $1,728.02 / $3,654.82	Professional		$1,382.98	$1,728.02	$3,654.82
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 $1,296.48 / $2,135.71 / $3,682.01	Professional		$1,296.48	$2,135.71	$3,682.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,028.95 / $3,028.95 / $3,028.95	Facility		$3,028.95	$3,028.95	$3,028.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,039.56 / $2,281.71 / $2,500.00	Facility		$1,039.56	$2,281.71	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,681.70 / $2,517.37 / $4,202.21	Professional		$1,681.70	$2,517.37	$4,202.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,567.02 / $2,266.27 / $4,350.55	Professional		$1,567.02	$2,266.27	$4,350.55
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 $1,528.90 / $2,509.69 / $3,900.77	Professional		$1,528.90	$2,509.69	$3,900.77