Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,327.61 / $5,045.00 / $6,915.00	Facility		$1,327.61	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $812.57 / $1,011.60 / $2,064.36	Professional		$812.57	$1,011.60	$2,064.36
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 $855.64 / $1,301.49 / $2,405.17	Professional		$855.64	$1,301.49	$2,405.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,400.35 / $1,400.35 / $1,400.35	Facility		$1,400.35	$1,400.35	$1,400.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,050.59 / $2,172.58	Facility		$1,000.00	$1,050.59	$2,172.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $920.03 / $1,364.49 / $2,374.23	Professional		$920.03	$1,364.49	$2,374.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,008.36 / $1,393.00 / $2,272.32	Professional		$1,008.36	$1,393.00	$2,272.32
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 $808.22 / $1,277.60 / $2,281.73	Professional		$808.22	$1,277.60	$2,281.73