Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,715.18 / $4,841.00 / $6,915.00	Facility		$1,715.18	$4,841.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,150.73 / $1,368.47 / $3,101.68	Professional		$1,150.73	$1,368.47	$3,101.68
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 $1,141.83 / $1,599.86 / $2,807.91	Professional		$1,141.83	$1,599.86	$2,807.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,192.75 / $2,339.57 / $3,592.91	Facility		$2,192.75	$2,339.57	$3,592.91
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 $1,174.29 / $1,828.65 / $3,044.79	Professional		$1,174.29	$1,828.65	$3,044.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,148.66 / $1,493.26 / $2,660.21	Professional		$1,148.66	$1,493.26	$2,660.21
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 $1,156.66 / $1,531.35 / $2,777.12	Professional		$1,156.66	$1,531.35	$2,777.12