Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,441.63 / $5,045.00 / $6,915.00	Facility		$1,441.63	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $907.15 / $1,137.42 / $2,096.84	Professional		$907.15	$1,137.42	$2,096.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,206.01 / $5,435.54 / $12,227.65	Facility		$1,206.01	$5,435.54	$12,227.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $997.00 / $1,492.89 / $2,755.32	Professional		$997.00	$1,492.89	$2,755.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,839.20 / $2,225.40 / $3,027.20	Facility		$1,839.20	$2,225.40	$3,027.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,203.36 / $4,830.16	Facility		$1,000.00	$1,203.36	$4,830.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,055.08 / $1,594.64 / $2,724.09	Professional		$1,055.08	$1,594.64	$2,724.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,162.11 / $1,672.41 / $2,618.81	Professional		$1,162.11	$1,672.41	$2,618.81
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 $907.71 / $1,368.60 / $2,600.08	Professional		$907.71	$1,368.60	$2,600.08