Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,621.17 / $5,595.00 / $9,512.00	Facility		$1,621.17	$5,595.00	$9,512.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,025.16 / $1,204.38 / $2,990.05	Professional		$1,025.16	$1,204.38	$2,990.05
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 $1,098.11 / $1,547.77 / $2,777.60	Professional		$1,098.11	$1,547.77	$2,777.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,069.96 / $2,214.51 / $3,400.86	Facility		$2,069.96	$2,214.51	$3,400.86
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 $1,176.95 / $1,830.74 / $2,877.16	Professional		$1,176.95	$1,830.74	$2,877.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,084.33 / $1,409.64 / $3,196.90	Professional		$1,084.33	$1,409.64	$3,196.90
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 $1,137.95 / $1,554.72 / $2,595.27	Professional		$1,137.95	$1,554.72	$2,595.27