Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,430.82 / $5,063.00 / $9,512.00	Facility		$1,430.82	$5,063.00	$9,512.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $939.63 / $1,071.47 / $2,389.41	Professional		$939.63	$1,071.47	$2,389.41
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 $1,011.96 / $1,416.74 / $2,560.26	Professional		$1,011.96	$1,416.74	$2,560.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,897.17 / $2,033.69 / $3,123.15	Facility		$1,897.17	$2,033.69	$3,123.15
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 $1,107.15 / $1,691.49 / $2,633.60	Professional		$1,107.15	$1,691.49	$2,633.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $993.82 / $1,291.97 / $2,587.87	Professional		$993.82	$1,291.97	$2,587.87
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 $1,052.91 / $1,350.48 / $2,224.21	Professional		$1,052.91	$1,350.48	$2,224.21