Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,791.00 / $5,063.00 / $6,915.00	Facility		$1,791.00	$5,063.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,211.25 / $1,447.75 / $3,397.18	Professional		$1,211.25	$1,447.75	$3,397.18
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 $1,215.36 / $1,719.66 / $3,055.05	Professional		$1,215.36	$1,719.66	$3,055.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,291.13 / $2,493.71 / $3,829.62	Facility		$2,291.13	$2,493.71	$3,829.62
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 $1,343.42 / $2,011.11 / $3,162.97	Professional		$1,343.42	$2,011.11	$3,162.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,200.20 / $1,560.26 / $2,388.88	Professional		$1,200.20	$1,560.26	$2,388.88
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 $1,268.00 / $1,738.90 / $3,015.00	Professional		$1,268.00	$1,738.90	$3,015.00