Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,467.47 / $5,079.00 / $9,512.00	Facility		$1,467.47	$5,079.00	$9,512.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $952.69 / $1,118.34 / $2,379.48	Professional		$952.69	$1,118.34	$2,379.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,556.18 / $4,429.60 / $8,545.91	Facility		$1,556.18	$4,429.60	$8,545.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,022.69 / $1,441.63 / $2,587.41	Professional		$1,022.69	$1,441.63	$2,587.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,922.25 / $2,070.62 / $3,179.88	Facility		$1,922.25	$2,070.62	$3,179.88
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 $1,122.53 / $1,710.14 / $2,661.53	Professional		$1,122.53	$1,710.14	$2,661.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,006.96 / $1,309.05 / $2,951.35	Professional		$1,006.96	$1,309.05	$2,951.35
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 $1,063.34 / $1,468.43 / $2,315.73	Professional		$1,063.34	$1,468.43	$2,315.73