Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,734.80 / $5,063.00 / $9,512.00	Facility		$1,734.80	$5,063.00	$9,512.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,173.92 / $1,327.79 / $2,951.80	Professional		$1,173.92	$1,327.79	$2,951.80
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 $1,272.36 / $1,781.31 / $3,102.65	Professional		$1,272.36	$1,781.31	$3,102.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,390.60 / $2,540.28 / $3,901.16	Facility		$2,390.60	$2,540.28	$3,901.16
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 $1,347.27 / $2,074.62 / $3,311.31	Professional		$1,347.27	$2,074.62	$3,311.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,253.97 / $1,630.16 / $3,062.80	Professional		$1,253.97	$1,630.16	$3,062.80
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 $1,291.39 / $1,695.88 / $2,780.82	Professional		$1,291.39	$1,695.88	$2,780.82