Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,352.00 / $5,045.00 / $6,915.00	Facility		$1,352.00	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $834.39 / $1,003.39 / $1,862.04	Professional		$834.39	$1,003.39	$1,862.04
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 $914.84 / $1,330.37 / $2,406.98	Professional		$914.84	$1,330.37	$2,406.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,458.15 / $1,458.15 / $1,458.15	Facility		$1,458.15	$1,458.15	$1,458.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,052.08 / $6,557.98	Facility		$1,000.00	$1,052.08	$6,557.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $918.41 / $1,377.22 / $2,384.57	Professional		$918.41	$1,377.22	$2,384.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,006.32 / $1,463.00 / $2,267.73	Professional		$1,006.32	$1,463.00	$2,267.73
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 $803.11 / $1,262.81 / $2,101.86	Professional		$803.11	$1,262.81	$2,101.86