Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,225.00 / $5,045.00 / $6,915.00	Facility		$2,225.00	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,481.31 / $1,781.96 / $3,919.98	Professional		$1,481.31	$1,781.96	$3,919.98
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 $1,626.30 / $2,387.14 / $4,209.18	Professional		$1,626.30	$2,387.14	$4,209.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,616.85 / $2,616.85 / $2,616.85	Facility		$2,616.85	$2,616.85	$2,616.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,858.64 / $1,858.64 / $5,087.16	Facility		$1,858.64	$1,858.64	$5,087.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,716.14 / $2,627.03 / $4,216.47	Professional		$1,716.14	$2,627.03	$4,216.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,766.96 / $2,714.70 / $4,970.89	Professional		$1,766.96	$2,714.70	$4,970.89
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 $1,450.98 / $2,255.48 / $3,675.59	Professional		$1,450.98	$2,255.48	$3,675.59