Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,634.43 / $5,063.00 / $6,915.00	Facility		$1,634.43	$5,063.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,059.96 / $1,265.50 / $2,963.26	Professional		$1,059.96	$1,265.50	$2,963.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,860.62 / $5,304.99 / $10,832.53	Facility		$1,860.62	$5,304.99	$10,832.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,064.51 / $1,499.80 / $2,651.84	Professional		$1,064.51	$1,499.80	$2,651.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,004.03 / $2,178.38 / $3,345.36	Facility		$2,004.03	$2,178.38	$3,345.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $550.00 / $550.00	Facility		$550.00	$550.00	$550.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,171.27 / $1,781.24 / $2,770.36	Professional		$1,171.27	$1,781.24	$2,770.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,049.80 / $1,364.74 / $2,433.62	Professional		$1,049.80	$1,364.74	$2,433.62
United Facility/Professional Facility Modifier Low / Median / High Price $1,519.00 / $6,351.00 / $8,836.00	Facility		$1,519.00	$6,351.00	$8,836.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,107.18 / $1,583.27 / $2,640.77	Professional		$1,107.18	$1,583.27	$2,640.77