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 $1,237.05 / $1,509.29 / $3,420.20	Professional		$1,237.05	$1,509.29	$3,420.20
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 $1,238.10 / $1,748.44 / $3,044.17	Professional		$1,238.10	$1,748.44	$3,044.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,320.46 / $2,479.77 / $3,808.22	Facility		$2,320.46	$2,479.77	$3,808.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,798.93 / $4,798.93 / $4,798.93	Facility		$4,798.93	$4,798.93	$4,798.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,281.01 / $2,037.16 / $3,308.19	Professional		$1,281.01	$2,037.16	$3,308.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,215.57 / $1,580.24 / $2,968.71	Professional		$1,215.57	$1,580.24	$2,968.71
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 $1,248.26 / $1,785.01 / $3,159.27	Professional		$1,248.26	$1,785.01	$3,159.27