Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,668.23 / $4,829.00 / $6,915.00	Facility		$1,668.23	$4,829.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,032.23 / $1,239.67 / $2,289.81	Professional		$1,032.23	$1,239.67	$2,289.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,082.02 / $3,088.55 / $6,315.83	Facility		$1,082.02	$3,088.55	$6,315.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,105.89 / $1,666.50 / $2,877.17	Professional		$1,105.89	$1,666.50	$2,877.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,930.50 / $2,329.50 / $3,168.80	Facility		$1,930.50	$2,329.50	$3,168.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,200.00 / $1,273.91 / $2,172.58	Facility		$1,200.00	$1,273.91	$2,172.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,167.76 / $1,788.40 / $2,926.03	Professional		$1,167.76	$1,788.40	$2,926.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,216.48 / $1,734.00 / $2,741.31	Professional		$1,216.48	$1,734.00	$2,741.31
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 $988.11 / $1,547.64 / $2,586.51	Professional		$988.11	$1,547.64	$2,586.51