Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,674.86 / $6,726.00 / $10,850.00	Facility		$1,674.86	$6,726.00	$10,850.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $617.20 / $1,157.94 / $3,162.43	Professional		$617.20	$1,157.94	$3,162.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,919.15 / $5,538.97 / $12,227.65	Facility		$1,919.15	$5,538.97	$12,227.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $631.19 / $1,384.19 / $2,344.71	Professional		$631.19	$1,384.19	$2,344.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,051.19 / $1,131.10 / $1,737.05	Facility		$1,051.19	$1,131.10	$1,737.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,744.81 / $6,744.81 / $6,744.81	Facility		$6,744.81	$6,744.81	$6,744.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $971.23 / $1,565.88 / $2,470.69	Professional		$971.23	$1,565.88	$2,470.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $550.66 / $715.86 / $4,710.74	Professional		$550.66	$715.86	$4,710.74
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 $1,064.14 / $1,374.76 / $2,367.19	Professional		$1,064.14	$1,374.76	$2,367.19