Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,830.97 / $5,045.00 / $6,915.00	Facility		$1,830.97	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,600.45 / $2,014.39 / $4,391.68	Professional		$1,600.45	$2,014.39	$4,391.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $996.37 / $2,722.51 / $5,292.58	Facility		$996.37	$2,722.51	$5,292.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,708.90 / $2,567.83 / $4,939.58	Professional		$1,708.90	$2,567.83	$4,939.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,472.47 / $3,788.36 / $5,817.84	Facility		$3,472.47	$3,788.36	$5,817.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,761.45 / $1,761.45 / $1,761.45	Facility		$1,761.45	$1,761.45	$1,761.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,759.83 / $2,996.79 / $5,449.74	Professional		$1,759.83	$2,996.79	$5,449.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,819.04 / $2,546.66 / $3,272.43	Professional		$1,819.04	$2,546.66	$3,272.43
United Facility/Professional Facility Modifier Low / Median / High Price $1,738.00 / $7,794.00 / $14,048.00	Facility		$1,738.00	$7,794.00	$14,048.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,678.87 / $2,331.76 / $4,721.24	Professional		$1,678.87	$2,331.76	$4,721.24