Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,791.00 / $5,063.00 / $9,512.00	Facility		$1,791.00	$5,063.00	$9,512.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,424.83 / $1,612.90 / $3,499.01	Professional		$1,424.83	$1,612.90	$3,499.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,556.18 / $4,429.60 / $8,545.91	Facility		$1,556.18	$4,429.60	$8,545.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,521.04 / $2,162.28 / $3,767.89	Professional		$1,521.04	$2,162.28	$3,767.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,899.08 / $3,080.61 / $4,730.93	Facility		$2,899.08	$3,080.61	$4,730.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,685.16 / $3,685.16 / $3,685.16	Facility		$3,685.16	$3,685.16	$3,685.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,625.32 / $2,395.94 / $4,019.49	Professional		$1,625.32	$2,395.94	$4,019.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,521.04 / $1,977.35 / $2,922.70	Professional		$1,521.04	$1,977.35	$2,922.70
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 $1,545.58 / $2,149.27 / $3,518.62	Professional		$1,545.58	$2,149.27	$3,518.62