Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,791.00 / $5,063.00 / $9,512.00	Facility		$1,791.00	$5,063.00	$9,512.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,392.73 / $1,579.77 / $3,563.49	Professional		$1,392.73	$1,579.77	$3,563.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,299.00 / $3,177.89 / $5,292.58	Facility		$1,299.00	$3,177.89	$5,292.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,491.14 / $2,122.12 / $3,772.58	Professional		$1,491.14	$2,122.12	$3,772.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,803.02 / $3,031.58 / $4,655.64	Facility		$2,803.02	$3,031.58	$4,655.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,761.45 / $1,761.45 / $1,761.45	Facility		$1,761.45	$1,761.45	$1,761.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,645.10 / $2,504.23 / $3,880.65	Professional		$1,645.10	$2,504.23	$3,880.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,468.34 / $1,908.84 / $4,299.50	Professional		$1,468.34	$1,908.84	$4,299.50
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 $1,558.81 / $2,080.32 / $3,403.67	Professional		$1,558.81	$2,080.32	$3,403.67