Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,422.82 / $5,063.00 / $9,512.00	Facility		$1,422.82	$5,063.00	$9,512.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $916.47 / $1,081.18 / $2,557.21	Professional		$916.47	$1,081.18	$2,557.21
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 $984.56 / $1,393.75 / $2,490.92	Professional		$984.56	$1,393.75	$2,490.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,847.18 / $1,987.53 / $3,052.28	Facility		$1,847.18	$1,987.53	$3,052.28
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 $1,081.40 / $1,651.08 / $2,562.28	Professional		$1,081.40	$1,651.08	$2,562.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $967.63 / $1,257.92 / $3,171.81	Professional		$967.63	$1,257.92	$3,171.81
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 $1,026.28 / $1,373.66 / $2,373.16	Professional		$1,026.28	$1,373.66	$2,373.16