Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,714.95 / $6,900.00 / $12,464.00	Facility		$1,714.95	$6,900.00	$12,464.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $939.97 / $1,148.31 / $1,989.57	Professional		$939.97	$1,148.31	$1,989.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,651.82 / $4,810.13 / $9,365.64	Facility		$1,651.82	$4,810.13	$9,365.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $953.00 / $1,368.29 / $2,725.57	Professional		$953.00	$1,368.29	$2,725.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,807.35 / $1,981.46 / $3,042.95	Facility		$1,807.35	$1,981.46	$3,042.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,186.00 / $7,258.00 / $10,047.00	Facility		$4,186.00	$7,258.00	$10,047.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,116.08 / $1,626.03 / $2,719.79	Professional		$1,116.08	$1,626.03	$2,719.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $946.78 / $1,230.81 / $2,438.66	Professional		$946.78	$1,230.81	$2,438.66
United Facility/Professional Facility Modifier Low / Median / High Price $1,998.00 / $9,172.00 / $18,613.00	Facility		$1,998.00	$9,172.00	$18,613.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,012.16 / $1,412.53 / $2,290.64	Professional		$1,012.16	$1,412.53	$2,290.64