Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,865.56 / $5,045.00 / $6,915.00	Facility		$1,865.56	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,288.05 / $1,541.39 / $3,704.93	Professional		$1,288.05	$1,541.39	$3,704.93
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 $1,391.20 / $1,984.64 / $3,613.19	Professional		$1,391.20	$1,984.64	$3,613.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,176.48 / $2,176.48 / $2,176.48	Facility		$2,176.48	$2,176.48	$2,176.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,596.46 / $1,596.46 / $4,013.65	Facility		$1,596.46	$1,596.46	$4,013.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,464.54 / $2,294.80 / $3,634.10	Professional		$1,464.54	$2,294.80	$3,634.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,530.32 / $2,339.42 / $4,788.45	Professional		$1,530.32	$2,339.42	$4,788.45
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 $1,263.77 / $1,896.17 / $3,239.30	Professional		$1,263.77	$1,896.17	$3,239.30