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 $1,455.88 / $1,708.53 / $4,262.05	Professional		$1,455.88	$1,708.53	$4,262.05
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 $1,551.58 / $2,199.59 / $3,965.84	Professional		$1,551.58	$2,199.59	$3,965.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,959.05 / $3,161.01 / $4,854.41	Facility		$2,959.05	$3,161.01	$4,854.41
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 $1,675.63 / $2,548.73 / $4,088.86	Professional		$1,675.63	$2,548.73	$4,088.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,550.08 / $2,015.10 / $3,412.58	Professional		$1,550.08	$2,015.10	$3,412.58
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 $1,602.28 / $2,091.77 / $3,476.14	Professional		$1,602.28	$2,091.77	$3,476.14