Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,626.42 / $5,063.00 / $7,421.00	Facility		$2,626.42	$5,063.00	$7,421.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,729.25 / $1,953.56 / $4,373.02	Professional		$1,729.25	$1,953.56	$4,373.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,380.70 / $4,259.00 / $8,545.91	Facility		$1,380.70	$4,259.00	$8,545.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,850.39 / $2,594.76 / $4,689.10	Professional		$1,850.39	$2,594.76	$4,689.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,483.69 / $3,761.61 / $5,776.76	Facility		$3,483.69	$3,761.61	$5,776.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $550.00 / $550.00	Facility		$550.00	$550.00	$550.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,008.59 / $3,036.51 / $4,823.43	Professional		$2,008.59	$3,036.51	$4,823.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,824.91 / $2,372.38 / $4,431.21	Professional		$1,824.91	$2,372.38	$4,431.21
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 $1,924.33 / $2,749.94 / $4,643.67	Professional		$1,924.33	$2,749.94	$4,643.67