Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,428.61 / $5,045.00 / $6,915.00	Facility		$1,428.61	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,230.94 / $1,491.25 / $3,631.75	Professional		$1,230.94	$1,491.25	$3,631.75
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 $1,307.19 / $1,895.75 / $3,480.06	Professional		$1,307.19	$1,895.75	$3,480.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,810.53 / $1,810.53 / $1,810.53	Facility		$1,810.53	$1,810.53	$1,810.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,534.81 / $1,534.81 / $4,013.65	Facility		$1,534.81	$1,534.81	$4,013.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,315.37 / $2,101.63 / $3,505.67	Professional		$1,315.37	$2,101.63	$3,505.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,480.83 / $2,019.32 / $4,693.85	Professional		$1,480.83	$2,019.32	$4,693.85
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 $1,228.56 / $1,821.86 / $3,516.42	Professional		$1,228.56	$1,821.86	$3,516.42