Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,566.72 / $5,063.00 / $6,915.00	Facility		$1,566.72	$5,063.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $962.22 / $1,175.23 / $2,457.17	Professional		$962.22	$1,175.23	$2,457.17
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 $995.56 / $1,554.12 / $2,718.24	Professional		$995.56	$1,554.12	$2,718.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,728.62 / $1,728.62 / $1,728.62	Facility		$1,728.62	$1,728.62	$1,728.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,137.85 / $1,137.85 / $4,013.65	Facility		$1,137.85	$1,137.85	$4,013.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,177.88 / $1,817.14 / $2,646.67	Professional		$1,177.88	$1,817.14	$2,646.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,089.81 / $1,674.35 / $2,770.45	Professional		$1,089.81	$1,674.35	$2,770.45
United Facility/Professional Facility Modifier Low / Median / High Price $1,075.00 / $4,826.00 / $7,889.00	Facility		$1,075.00	$4,826.00	$7,889.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,015.74 / $1,615.68 / $2,585.32	Professional		$1,015.74	$1,615.68	$2,585.32