Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,226.31 / $4,368.00 / $6,915.00	Facility		$1,226.31	$4,368.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $927.16 / $1,226.31 / $1,842.68	Professional		$927.16	$1,226.31	$1,842.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $869.00 / $2,292.94 / $5,240.56	Facility		$869.00	$2,292.94	$5,240.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $939.55 / $1,491.03 / $2,934.70	Professional		$939.55	$1,491.03	$2,934.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,292.01 / $1,292.01 / $1,292.01	Facility		$1,292.01	$1,292.01	$1,292.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,200.00 / $1,255.83 / $1,272.50	Facility		$1,200.00	$1,255.83	$1,272.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $924.13 / $1,559.20 / $2,841.17	Professional		$924.13	$1,559.20	$2,841.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,282.30 / $1,672.56 / $3,224.65	Professional		$1,282.30	$1,672.56	$3,224.65
United Facility/Professional Facility Modifier Low / Median / High Price $1,075.00 / $4,826.00 / $7,889.00	Facility		$1,075.00	$4,826.00	$7,889.00
United Facility/Professional Professional Modifier Low / Median / High Price $877.34 / $1,262.92 / $2,592.91	Professional		$877.34	$1,262.92	$2,592.91