Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,469.28 / $5,063.00 / $7,391.00	Facility		$1,469.28	$5,063.00	$7,391.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $904.26 / $1,087.17 / $2,187.65	Professional		$904.26	$1,087.17	$2,187.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,603.22 / $5,625.09 / $13,137.87	Facility		$1,603.22	$5,625.09	$13,137.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,000.64 / $1,450.92 / $2,598.01	Professional		$1,000.64	$1,450.92	$2,598.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,753.05 / $2,107.79 / $2,867.22	Facility		$1,753.05	$2,107.79	$2,867.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,138.27 / $1,138.27 / $9,125.94	Facility		$1,138.27	$1,138.27	$9,125.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,061.79 / $1,592.43 / $2,567.52	Professional		$1,061.79	$1,592.43	$2,567.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,100.70 / $1,674.30 / $2,713.41	Professional		$1,100.70	$1,674.30	$2,713.41
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 $888.07 / $1,426.89 / $2,490.69	Professional		$888.07	$1,426.89	$2,490.69