Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,299.90 / $5,063.00 / $9,512.00	Facility		$1,299.90	$5,063.00	$9,512.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $851.49 / $969.66 / $2,229.52	Professional		$851.49	$969.66	$2,229.52
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 $915.67 / $1,300.25 / $2,316.64	Professional		$915.67	$1,300.25	$2,316.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,717.37 / $1,844.97 / $2,833.35	Facility		$1,717.37	$1,844.97	$2,833.35
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 $1,002.30 / $1,534.49 / $2,383.01	Professional		$1,002.30	$1,534.49	$2,383.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $899.63 / $1,169.52 / $2,765.35	Professional		$899.63	$1,169.52	$2,765.35
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 $953.81 / $1,316.24 / $2,256.62	Professional		$953.81	$1,316.24	$2,256.62