Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,708.18 / $4,841.00 / $6,915.00	Facility		$1,708.18	$4,841.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,098.95 / $1,304.92 / $2,997.86	Professional		$1,098.95	$1,304.92	$2,997.86
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 $1,096.56 / $1,538.31 / $2,675.17	Professional		$1,096.56	$1,538.31	$2,675.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,093.28 / $2,241.48 / $3,442.28	Facility		$2,093.28	$2,241.48	$3,442.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,232.93 / $5,232.93 / $5,232.93	Facility		$5,232.93	$5,232.93	$5,232.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,140.48 / $1,792.78 / $2,900.86	Professional		$1,140.48	$1,792.78	$2,900.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,096.56 / $1,425.53 / $2,656.25	Professional		$1,096.56	$1,425.53	$2,656.25
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 $1,105.28 / $1,557.65 / $2,651.15	Professional		$1,105.28	$1,557.65	$2,651.15