Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,235.74 / $5,045.00 / $6,915.00	Facility		$1,235.74	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $773.17 / $991.11 / $1,822.15	Professional		$773.17	$991.11	$1,822.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,082.02 / $2,986.70 / $6,315.83	Facility		$1,082.02	$2,986.70	$6,315.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $829.45 / $1,290.64 / $2,340.23	Professional		$829.45	$1,290.64	$2,340.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,373.33 / $1,373.33 / $1,373.33	Facility		$1,373.33	$1,373.33	$1,373.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,042.04 / $2,172.58	Facility		$1,000.00	$1,042.04	$2,172.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $869.13 / $1,344.54 / $2,359.75	Professional		$869.13	$1,344.54	$2,359.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $998.12 / $1,395.00 / $2,249.23	Professional		$998.12	$1,395.00	$2,249.23
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 $771.44 / $1,151.15 / $2,082.77	Professional		$771.44	$1,151.15	$2,082.77