Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,515.87 / $4,829.00 / $6,915.00	Facility		$1,515.87	$4,829.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $925.35 / $1,112.85 / $2,427.59	Professional		$925.35	$1,112.85	$2,427.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,402.00 / $5,435.54 / $12,227.65	Facility		$1,402.00	$5,435.54	$12,227.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,006.42 / $1,496.65 / $2,661.74	Professional		$1,006.42	$1,496.65	$2,661.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,793.78 / $2,110.34 / $2,932.88	Facility		$1,793.78	$2,110.34	$2,932.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,165.18 / $1,165.18 / $4,830.16	Facility		$1,165.18	$1,165.18	$4,830.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,087.83 / $1,623.47 / $2,627.81	Professional		$1,087.83	$1,623.47	$2,627.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,125.91 / $1,725.80 / $3,011.01	Professional		$1,125.91	$1,725.80	$3,011.01
United Facility/Professional Facility Modifier Low / Median / High Price $1,998.00 / $9,172.00 / $18,613.00	Facility		$1,998.00	$9,172.00	$18,613.00
United Facility/Professional Professional Modifier Low / Median / High Price $909.86 / $1,464.22 / $2,333.19	Professional		$909.86	$1,464.22	$2,333.19