Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,791.00 / $5,063.00 / $7,421.00	Facility		$1,791.00	$5,063.00	$7,421.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,132.24 / $1,379.44 / $2,594.56	Professional		$1,132.24	$1,379.44	$2,594.56
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 $1,245.47 / $1,779.86 / $3,276.13	Professional		$1,245.47	$1,779.86	$3,276.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,211.51 / $2,657.09 / $3,614.42	Facility		$2,211.51	$2,657.09	$3,614.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,437.35 / $2,500.00	Facility		$500.00	$1,437.35	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,297.06 / $1,983.16 / $3,258.21	Professional		$1,297.06	$1,983.16	$3,258.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,387.55 / $1,892.12 / $3,144.00	Professional		$1,387.55	$1,892.12	$3,144.00
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 $1,134.60 / $1,720.35 / $2,911.59	Professional		$1,134.60	$1,720.35	$2,911.59