Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,557.22 / $4,829.00 / $6,915.00	Facility		$1,557.22	$4,829.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $953.42 / $1,146.69 / $2,335.77	Professional		$953.42	$1,146.69	$2,335.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,402.00 / $5,625.09 / $13,137.87	Facility		$1,402.00	$5,625.09	$13,137.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,055.25 / $1,541.05 / $2,742.11	Professional		$1,055.25	$1,541.05	$2,742.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,848.80 / $2,222.82 / $3,023.70	Facility		$1,848.80	$2,222.82	$3,023.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,200.00 / $1,200.39 / $9,125.94	Facility		$1,200.00	$1,200.39	$9,125.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,118.85 / $1,680.46 / $2,707.18	Professional		$1,118.85	$1,680.46	$2,707.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,160.78 / $1,783.37 / $2,819.55	Professional		$1,160.78	$1,783.37	$2,819.55
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 $935.72 / $1,419.11 / $2,401.76	Professional		$935.72	$1,419.11	$2,401.76