Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,685.73 / $5,063.00 / $9,512.00	Facility		$1,685.73	$5,063.00	$9,512.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,148.94 / $1,300.31 / $2,890.91	Professional		$1,148.94	$1,300.31	$2,890.91
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 $1,227.14 / $1,744.26 / $3,037.87	Professional		$1,227.14	$1,744.26	$3,037.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,337.65 / $2,484.03 / $3,814.76	Facility		$2,337.65	$2,484.03	$3,814.76
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 $1,304.27 / $2,032.92 / $3,242.43	Professional		$1,304.27	$2,032.92	$3,242.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,227.14 / $1,595.28 / $3,015.36	Professional		$1,227.14	$1,595.28	$3,015.36
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 $1,263.61 / $1,648.75 / $2,710.96	Professional		$1,263.61	$1,648.75	$2,710.96