Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,359.49 / $5,063.00 / $9,512.00	Facility		$1,359.49	$5,063.00	$9,512.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $876.95 / $1,054.72 / $2,255.44	Professional		$876.95	$1,054.72	$2,255.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,680.00 / $5,516.40 / $12,227.65	Facility		$1,680.00	$5,516.40	$12,227.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $970.14 / $1,416.92 / $2,521.73	Professional		$970.14	$1,416.92	$2,521.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,699.38 / $2,043.53 / $2,779.80	Facility		$1,699.38	$2,043.53	$2,779.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,103.68 / $1,103.68 / $4,830.16	Facility		$1,103.68	$1,103.68	$4,830.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,029.57 / $1,526.21 / $2,489.76	Professional		$1,029.57	$1,526.21	$2,489.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,067.15 / $1,492.00 / $2,825.46	Professional		$1,067.15	$1,492.00	$2,825.46
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 $861.39 / $1,311.86 / $2,202.07	Professional		$861.39	$1,311.86	$2,202.07