Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,791.00 / $4,841.00 / $6,915.00	Facility		$1,791.00	$4,841.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,141.79 / $1,357.08 / $3,185.28	Professional		$1,141.79	$1,357.08	$3,185.28
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 $1,161.04 / $1,625.45 / $2,973.13	Professional		$1,161.04	$1,625.45	$2,973.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,175.23 / $2,320.34 / $3,563.37	Facility		$2,175.23	$2,320.34	$3,563.37
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 $1,209.26 / $1,903.89 / $3,209.72	Professional		$1,209.26	$1,903.89	$3,209.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,139.48 / $1,481.32 / $2,358.26	Professional		$1,139.48	$1,481.32	$2,358.26
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 $1,166.77 / $1,668.48 / $2,880.25	Professional		$1,166.77	$1,668.48	$2,880.25