Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,500.11 / $5,063.00 / $9,512.00	Facility		$1,500.11	$5,063.00	$9,512.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,003.30 / $1,179.59 / $3,029.21	Professional		$1,003.30	$1,179.59	$3,029.21
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 $1,073.89 / $1,515.34 / $2,712.87	Professional		$1,073.89	$1,515.34	$2,712.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,024.90 / $2,164.94 / $3,324.75	Facility		$2,024.90	$2,164.94	$3,324.75
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 $1,150.56 / $1,788.73 / $2,816.90	Professional		$1,150.56	$1,788.73	$2,816.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,060.74 / $1,378.96 / $2,997.46	Professional		$1,060.74	$1,378.96	$2,997.46
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 $1,106.93 / $1,549.74 / $2,667.50	Professional		$1,106.93	$1,549.74	$2,667.50