Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,848.66 / $5,063.00 / $7,421.00	Facility		$1,848.66	$5,063.00	$7,421.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,210.66 / $1,469.42 / $3,115.88	Professional		$1,210.66	$1,469.42	$3,115.88
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 $1,305.30 / $1,873.88 / $3,400.27	Professional		$1,305.30	$1,873.88	$3,400.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,068.78 / $2,068.78 / $2,068.78	Facility		$2,068.78	$2,068.78	$2,068.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,496.15 / $1,496.15 / $5,378.73	Facility		$1,496.15	$1,496.15	$5,378.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,349.41 / $2,143.06 / $3,416.13	Professional		$1,349.41	$2,143.06	$3,416.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,435.83 / $2,085.17 / $3,235.63	Professional		$1,435.83	$2,085.17	$3,235.63
United Facility/Professional Facility Modifier Low / Median / High Price $2,845.00 / $7,357.00 / $11,889.00	Facility		$2,845.00	$7,357.00	$11,889.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,212.93 / $1,855.07 / $3,088.43	Professional		$1,212.93	$1,855.07	$3,088.43