Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,502.61 / $5,063.00 / $7,421.00	Facility		$1,502.61	$5,063.00	$7,421.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $919.76 / $1,109.70 / $3,086.77	Professional		$919.76	$1,109.70	$3,086.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $699.03 / $4,429.60 / $8,135.37	Facility		$699.03	$4,429.60	$8,135.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $998.52 / $1,459.93 / $2,583.40	Professional		$998.52	$1,459.93	$2,583.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,575.82 / $1,575.82 / $1,575.82	Facility		$1,575.82	$1,575.82	$1,575.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,146.48 / $1,146.48 / $4,013.65	Facility		$1,146.48	$1,146.48	$4,013.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,073.31 / $1,660.29 / $2,578.32	Professional		$1,073.31	$1,660.29	$2,578.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,095.63 / $1,596.83 / $6,621.34	Professional		$1,095.63	$1,596.83	$6,621.34
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 $916.61 / $1,455.66 / $2,479.21	Professional		$916.61	$1,455.66	$2,479.21