Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,470.88 / $4,592.00 / $6,915.00	Facility		$1,470.88	$4,592.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,398.92 / $1,459.53 / $1,499.81	Professional		$1,398.92	$1,459.53	$1,499.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,439.08 / $7,591.82 / $21,232.89	Facility		$2,439.08	$7,591.82	$21,232.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,368.48 / $2,128.84 / $2,508.98	Professional		$1,368.48	$2,128.84	$2,508.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,493.53 / $3,000.38 / $74,999.25	Facility		$2,493.53	$3,000.38	$74,999.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $778.00 / $12,409.22 / $15,626.42	Facility		$778.00	$12,409.22	$15,626.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7,519.26 / $7,519.26 / $7,519.26	Professional		$7,519.26	$7,519.26	$7,519.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,447.56 / $2,026.58 / $6,776.07	Professional		$1,447.56	$2,026.58	$6,776.07
United Facility/Professional Facility Modifier Low / Median / High Price $2,483.00 / $12,757.00 / $37,760.00	Facility		$2,483.00	$12,757.00	$37,760.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,205.70 / $1,647.81 / $2,677.55	Professional		$1,205.70	$1,647.81	$2,677.55