Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,314.70 / $5,045.00 / $9,488.00	Facility		$1,314.70	$5,045.00	$9,488.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $782.78 / $1,787.95 / $3,376.05	Professional		$782.78	$1,787.95	$3,376.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,540.00 / $4,412.76 / $8,545.91	Facility		$1,540.00	$4,412.76	$8,545.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $753.23 / $1,193.86 / $2,027.83	Professional		$753.23	$1,193.86	$2,027.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,476.27 / $2,476.27 / $2,476.27	Facility		$2,476.27	$2,476.27	$2,476.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,297.44 / $1,297.44 / $5,475.69	Facility		$1,297.44	$1,297.44	$5,475.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $918.90 / $1,932.72 / $4,293.99	Professional		$918.90	$1,932.72	$4,293.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $903.88 / $2,014.48 / $4,202.99	Professional		$903.88	$2,014.48	$4,202.99
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 $1,731.01 / $2,651.71 / $4,287.51	Professional		$1,731.01	$2,651.71	$4,287.51