Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,738.05 / $5,063.00 / $7,421.00	Facility		$1,738.05	$5,063.00	$7,421.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,142.16 / $1,292.50 / $3,393.98	Professional		$1,142.16	$1,292.50	$3,393.98
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 $1,228.00 / $1,740.62 / $3,106.85	Professional		$1,228.00	$1,740.62	$3,106.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,303.81 / $2,475.73 / $3,802.02	Facility		$2,303.81	$2,475.73	$3,802.02
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 $1,266.26 / $2,041.92 / $3,195.85	Professional		$1,266.26	$2,041.92	$3,195.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,206.83 / $1,568.88 / $4,209.66	Professional		$1,206.83	$1,568.88	$4,209.66
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 $1,205.97 / $1,676.06 / $2,759.81	Professional		$1,205.97	$1,676.06	$2,759.81