Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,404.09 / $4,368.00 / $6,915.00	Facility		$1,404.09	$4,368.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,034.97 / $1,288.26 / $2,590.32	Professional		$1,034.97	$1,288.26	$2,590.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $2,795.56 / $6,315.83	Facility		$964.00	$2,795.56	$6,315.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,119.91 / $1,727.06 / $3,170.40	Professional		$1,119.91	$1,727.06	$3,170.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,638.11 / $1,638.11 / $1,638.11	Facility		$1,638.11	$1,638.11	$1,638.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,379.69 / $2,172.58	Facility		$860.00	$1,379.69	$2,172.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,116.55 / $1,742.16 / $3,078.35	Professional		$1,116.55	$1,742.16	$3,078.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,347.93 / $1,563.58 / $3,037.52	Professional		$1,347.93	$1,563.58	$3,037.52
United Facility/Professional Facility Modifier Low / Median / High Price $1,519.00 / $6,351.00 / $8,836.00	Facility		$1,519.00	$6,351.00	$8,836.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,012.97 / $1,514.15 / $2,759.70	Professional		$1,012.97	$1,514.15	$2,759.70