Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,094.06 / $5,063.00 / $9,488.00	Facility		$1,094.06	$5,063.00	$9,488.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,040.89 / $1,273.73 / $2,433.79	Professional		$1,040.89	$1,273.73	$2,433.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,298.47 / $4,431.64 / $10,456.09	Facility		$1,298.47	$4,431.64	$10,456.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,055.86 / $1,622.39 / $3,019.80	Professional		$1,055.86	$1,622.39	$3,019.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,003.99 / $2,194.76 / $3,370.52	Facility		$2,003.99	$2,194.76	$3,370.52
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 $1,238.04 / $1,813.26 / $3,051.02	Professional		$1,238.04	$1,813.26	$3,051.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,049.78 / $1,364.71 / $3,018.71	Professional		$1,049.78	$1,364.71	$3,018.71
United Facility/Professional Facility Modifier Low / Median / High Price $1,162.00 / $3,372.00 / $8,133.00	Facility		$1,162.00	$3,372.00	$8,133.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,119.24 / $1,607.37 / $2,780.87	Professional		$1,119.24	$1,607.37	$2,780.87