Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,376.39 / $5,045.00 / $6,915.00	Facility		$1,376.39	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $901.53 / $1,082.59 / $2,043.65	Professional		$901.53	$1,082.59	$2,043.65
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 $934.21 / $1,442.08 / $2,591.04	Professional		$934.21	$1,442.08	$2,591.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,605.78 / $1,605.78 / $1,605.78	Facility		$1,605.78	$1,605.78	$1,605.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,131.88 / $4,830.16	Facility		$1,000.00	$1,131.88	$4,830.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,012.45 / $1,493.65 / $2,567.17	Professional		$1,012.45	$1,493.65	$2,567.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,083.14 / $1,575.47 / $2,440.83	Professional		$1,083.14	$1,575.47	$2,440.83
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 $866.60 / $1,381.60 / $2,262.58	Professional		$866.60	$1,381.60	$2,262.58