Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,240.02 / $1,240.02 / $1,240.02	Facility		$1,240.02	$1,240.02	$1,240.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,195.20 / $1,240.02 / $1,269.90	Professional		$1,195.20	$1,240.02	$1,269.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,245.00 / $1,369.43 / $1,419.30	Professional		$1,245.00	$1,369.43	$1,419.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,269.90 / $1,307.25 / $1,307.25	Facility		$1,269.90	$1,307.25	$1,307.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,269.90 / $1,269.90 / $1,269.90	Facility		$1,269.90	$1,269.90	$1,269.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,269.90 / $1,269.90 / $1,269.90	Professional		$1,269.90	$1,269.90	$1,269.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,015.92 / $1,269.90 / $3,368.00	Professional		$1,015.92	$1,269.90	$3,368.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,245.00 / $1,245.00 / $1,657.22	Professional		$1,245.00	$1,245.00	$1,657.22