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 $1,182.58 / $1,407.53 / $3,194.13	Professional		$1,182.58	$1,407.53	$3,194.13
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 $1,178.96 / $1,646.39 / $2,884.19	Professional		$1,178.96	$1,646.39	$2,884.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,250.60 / $2,403.03 / $3,690.38	Facility		$2,250.60	$2,403.03	$3,690.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,670.81 / $4,670.81 / $4,670.81	Facility		$4,670.81	$4,670.81	$4,670.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,213.23 / $1,891.00 / $3,127.51	Professional		$1,213.23	$1,891.00	$3,127.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,178.96 / $1,532.65 / $2,890.89	Professional		$1,178.96	$1,532.65	$2,890.89
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 $1,200.08 / $1,643.89 / $2,981.20	Professional		$1,200.08	$1,643.89	$2,981.20