Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,555.70 / $5,045.00 / $6,915.00	Facility		$1,555.70	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,004.37 / $1,265.16 / $2,740.66	Professional		$1,004.37	$1,265.16	$2,740.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $992.53 / $2,706.44 / $5,240.56	Facility		$992.53	$2,706.44	$5,240.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,109.61 / $1,616.90 / $3,174.45	Professional		$1,109.61	$1,616.90	$3,174.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,191.16 / $2,384.13 / $3,661.35	Facility		$2,191.16	$2,384.13	$3,661.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,168.35 / $1,168.35 / $1,168.35	Facility		$1,168.35	$1,168.35	$1,168.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,153.54 / $1,881.44 / $3,424.95	Professional		$1,153.54	$1,881.44	$3,424.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,147.82 / $1,606.95 / $2,515.58	Professional		$1,147.82	$1,606.95	$2,515.58
United Facility/Professional Facility Modifier Low / Median / High Price $1,369.00 / $4,581.00 / $7,647.00	Facility		$1,369.00	$4,581.00	$7,647.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,154.72 / $1,511.93 / $2,959.86	Professional		$1,154.72	$1,511.93	$2,959.86