Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,764.70 / $5,063.00 / $7,421.00	Facility		$1,764.70	$5,063.00	$7,421.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $876.49 / $1,103.10 / $2,121.10	Professional		$876.49	$1,103.10	$2,121.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $2,634.62 / $5,292.58	Facility		$964.00	$2,634.62	$5,292.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $971.30 / $1,512.65 / $2,504.15	Professional		$971.30	$1,512.65	$2,504.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,733.24 / $2,038.14 / $2,772.48	Facility		$1,733.24	$2,038.14	$2,772.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,115.95 / $1,115.95 / $2,225.00	Facility		$1,115.95	$1,115.95	$2,225.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,033.58 / $1,594.72 / $2,557.16	Professional		$1,033.58	$1,594.72	$2,557.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,064.33 / $1,548.13 / $6,616.00	Professional		$1,064.33	$1,548.13	$6,616.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,075.00 / $4,826.00 / $7,889.00	Facility		$1,075.00	$4,826.00	$7,889.00
United Facility/Professional Professional Modifier Low / Median / High Price $881.94 / $1,473.46 / $2,211.32	Professional		$881.94	$1,473.46	$2,211.32