Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,514.18 / $5,063.00 / $7,421.00	Facility		$1,514.18	$5,063.00	$7,421.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,020.53 / $1,284.07 / $2,783.14	Professional		$1,020.53	$1,284.07	$2,783.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,380.70 / $3,859.05 / $8,545.91	Facility		$1,380.70	$3,859.05	$8,545.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,031.58 / $1,463.55 / $2,641.02	Professional		$1,031.58	$1,463.55	$2,641.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,042.36 / $2,170.25 / $3,332.88	Facility		$2,042.36	$2,170.25	$3,332.88
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 $1,022.48 / $1,714.82 / $2,828.77	Professional		$1,022.48	$1,714.82	$2,828.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,076.01 / $1,398.81 / $3,034.75	Professional		$1,076.01	$1,398.81	$3,034.75
United Facility/Professional Facility Modifier Low / Median / High Price $2,845.00 / $7,766.00 / $11,889.00	Facility		$2,845.00	$7,766.00	$11,889.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,018.39 / $1,381.74 / $2,685.48	Professional		$1,018.39	$1,381.74	$2,685.48