Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.00 / $4,841.00 / $6,915.00	Facility		$1,202.00	$4,841.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $808.05 / $960.20 / $2,163.81	Professional		$808.05	$960.20	$2,163.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,376.26 / $3,839.45 / $8,545.91	Facility		$1,376.26	$3,839.45	$8,545.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $808.17 / $1,119.00 / $1,975.99	Professional		$808.17	$1,119.00	$1,975.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,542.77 / $1,640.52 / $2,519.37	Facility		$1,542.77	$1,640.52	$2,519.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,685.16 / $3,685.16 / $3,685.16	Facility		$3,685.16	$3,685.16	$3,685.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $826.13 / $1,322.52 / $2,142.69	Professional		$826.13	$1,322.52	$2,142.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $808.17 / $1,050.61 / $2,328.73	Professional		$808.17	$1,050.61	$2,328.73
United Facility/Professional Facility Modifier Low / Median / High Price $1,738.00 / $7,794.00 / $14,048.00	Facility		$1,738.00	$7,794.00	$14,048.00
United Facility/Professional Professional Modifier Low / Median / High Price $799.41 / $1,040.65 / $2,042.46	Professional		$799.41	$1,040.65	$2,042.46