Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,553.85 / $4,841.00 / $6,915.00	Facility		$1,553.85	$4,841.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,063.80 / $1,264.90 / $2,851.30	Professional		$1,063.80	$1,264.90	$2,851.30
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 $1,042.94 / $1,441.71 / $2,599.77	Professional		$1,042.94	$1,441.71	$2,599.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,028.51 / $2,159.16 / $3,315.86	Facility		$2,028.51	$2,159.16	$3,315.86
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 $1,087.76 / $1,668.50 / $2,819.10	Professional		$1,087.76	$1,668.50	$2,819.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,062.61 / $1,381.41 / $2,234.02	Professional		$1,062.61	$1,381.41	$2,234.02
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 $1,065.89 / $1,411.72 / $2,682.70	Professional		$1,065.89	$1,411.72	$2,682.70