Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,983.30 / $5,595.00 / $10,139.00	Facility		$1,983.30	$5,595.00	$10,139.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $842.36 / $1,020.47 / $2,477.42	Professional		$842.36	$1,020.47	$2,477.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,380.70 / $3,859.05 / $8,545.91	Facility		$1,380.70	$3,859.05	$8,545.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $885.23 / $1,239.32 / $2,239.63	Professional		$885.23	$1,239.32	$2,239.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,652.57 / $1,756.11 / $2,696.88	Facility		$1,652.57	$1,756.11	$2,696.88
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 $930.09 / $1,452.76 / $2,349.23	Professional		$930.09	$1,452.76	$2,349.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $865.68 / $1,125.38 / $3,565.61	Professional		$865.68	$1,125.38	$3,565.61
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 $904.30 / $1,261.18 / $2,288.73	Professional		$904.30	$1,261.18	$2,288.73