Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,649.54 / $5,063.00 / $9,512.00	Facility		$1,649.54	$5,063.00	$9,512.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,121.75 / $1,269.67 / $2,826.22	Professional		$1,121.75	$1,269.67	$2,826.22
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 $1,217.06 / $1,703.88 / $2,969.93	Professional		$1,217.06	$1,703.88	$2,969.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,282.91 / $2,425.86 / $3,725.43	Facility		$2,282.91	$2,425.86	$3,725.43
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 $1,271.52 / $1,981.36 / $3,167.37	Professional		$1,271.52	$1,981.36	$3,167.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,199.38 / $1,559.19 / $2,925.88	Professional		$1,199.38	$1,559.19	$2,925.88
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 $1,233.33 / $1,605.49 / $2,999.38	Professional		$1,233.33	$1,605.49	$2,999.38