Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,896.00 / $5,079.00 / $9,512.00	Facility		$1,896.00	$5,079.00	$9,512.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,440.93 / $1,743.54 / $4,710.60	Professional		$1,440.93	$1,743.54	$4,710.60
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 $1,553.24 / $2,233.96 / $4,068.66	Professional		$1,553.24	$2,233.96	$4,068.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,738.91 / $3,315.68 / $4,510.29	Facility		$2,738.91	$3,315.68	$4,510.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,794.83 / $1,794.83 / $6,746.59	Facility		$1,794.83	$1,794.83	$6,746.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,614.48 / $2,460.66 / $4,191.64	Professional		$1,614.48	$2,460.66	$4,191.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,731.47 / $2,503.34 / $7,292.19	Professional		$1,731.47	$2,503.34	$7,292.19
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 $1,438.40 / $2,216.12 / $3,656.64	Professional		$1,438.40	$2,216.12	$3,656.64