Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,135.35 / $5,045.00 / $6,915.00	Facility		$1,135.35	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $926.25 / $1,189.46 / $2,575.94	Professional		$926.25	$1,189.46	$2,575.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,376.26 / $4,412.76 / $8,702.00	Facility		$1,376.26	$4,412.76	$8,702.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,046.27 / $1,513.23 / $2,796.47	Professional		$1,046.27	$1,513.23	$2,796.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,567.04 / $1,567.04 / $1,567.04	Facility		$1,567.04	$1,567.04	$1,567.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,224.95 / $1,224.95 / $4,013.65	Facility		$1,224.95	$1,224.95	$4,013.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,062.33 / $1,677.20 / $2,781.81	Professional		$1,062.33	$1,677.20	$2,781.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,182.64 / $1,710.17 / $3,195.02	Professional		$1,182.64	$1,710.17	$3,195.02
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 $971.28 / $1,459.56 / $2,555.48	Professional		$971.28	$1,459.56	$2,555.48