Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,067.25 / $1,785.14 / $2,697.60	Facility		$1,067.25	$1,785.14	$2,697.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,067.25 / $1,389.07 / $2,884.94	Professional		$1,067.25	$1,389.07	$2,884.94
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 $1,024.23 / $1,656.21 / $2,855.62	Professional		$1,024.23	$1,656.21	$2,855.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,362.61 / $2,362.61 / $2,362.61	Facility		$2,362.61	$2,362.61	$2,362.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $918.08 / $1,787.12 / $2,500.00	Facility		$918.08	$1,787.12	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,317.56 / $2,021.23 / $3,406.56	Professional		$1,317.56	$2,021.23	$3,406.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,229.08 / $1,774.60 / $3,360.70	Professional		$1,229.08	$1,774.60	$3,360.70
United Facility/Professional Facility Modifier Low / Median / High Price $2,845.00 / $7,356.00 / $11,889.00	Facility		$2,845.00	$7,356.00	$11,889.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,239.93 / $1,998.47 / $3,152.86	Professional		$1,239.93	$1,998.47	$3,152.86