Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,640.87 / $5,063.00 / $7,421.00	Facility		$1,640.87	$5,063.00	$7,421.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $940.75 / $1,136.30 / $2,405.33	Professional		$940.75	$1,136.30	$2,405.33
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 $1,013.46 / $1,500.02 / $2,660.64	Professional		$1,013.46	$1,500.02	$2,660.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,763.90 / $1,763.90 / $1,763.90	Facility		$1,763.90	$1,763.90	$1,763.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,166.55 / $2,500.00	Facility		$500.00	$1,166.55	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,102.64 / $1,650.08 / $2,655.29	Professional		$1,102.64	$1,650.08	$2,655.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,123.06 / $1,725.42 / $2,530.79	Professional		$1,123.06	$1,725.42	$2,530.79
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 $943.08 / $1,498.45 / $2,541.27	Professional		$943.08	$1,498.45	$2,541.27