Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,706.94 / $5,063.00 / $7,421.00	Facility		$1,706.94	$5,063.00	$7,421.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,072.64 / $1,212.52 / $2,785.37	Professional		$1,072.64	$1,212.52	$2,785.37
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 $1,152.36 / $1,630.01 / $2,915.50	Professional		$1,152.36	$1,630.01	$2,915.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,163.11 / $2,327.28 / $3,574.04	Facility		$2,163.11	$2,327.28	$3,574.04
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 $1,242.61 / $1,888.70 / $2,999.02	Professional		$1,242.61	$1,888.70	$2,999.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,133.13 / $1,473.07 / $3,454.78	Professional		$1,133.13	$1,473.07	$3,454.78
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 $1,192.83 / $1,705.75 / $2,592.79	Professional		$1,192.83	$1,705.75	$2,592.79