Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,796.38 / $5,063.00 / $7,391.00	Facility		$1,796.38	$5,063.00	$7,391.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,304.42 / $1,666.61 / $3,155.43	Professional		$1,304.42	$1,666.61	$3,155.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,185.65 / $3,123.57 / $6,315.83	Facility		$1,185.65	$3,123.57	$6,315.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,440.35 / $2,156.58 / $3,817.80	Professional		$1,440.35	$2,156.58	$3,817.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,654.13 / $3,122.51 / $4,369.16	Facility		$2,654.13	$3,122.51	$4,369.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,350.00 / $1,736.96 / $2,172.58	Facility		$1,350.00	$1,736.96	$2,172.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,465.26 / $2,223.14 / $3,951.75	Professional		$1,465.26	$2,223.14	$3,951.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,677.29 / $2,285.44 / $3,779.72	Professional		$1,677.29	$2,285.44	$3,779.72
United Facility/Professional Facility Modifier Low / Median / High Price $625.00 / $3,218.00 / $5,272.00	Facility		$625.00	$3,218.00	$5,272.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,343.00 / $2,022.10 / $3,795.40	Professional		$1,343.00	$2,022.10	$3,795.40