Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,816.99 / $5,063.00 / $6,915.00	Facility		$2,816.99	$5,063.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,344.39 / $2,984.65 / $5,878.44	Professional		$2,344.39	$2,984.65	$5,878.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,361.69 / $9,558.66 / $55,752.34	Facility		$2,361.69	$9,558.66	$55,752.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,682.97 / $3,826.90 / $7,004.58	Professional		$2,682.97	$3,826.90	$7,004.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,779.97 / $5,708.99 / $7,765.89	Facility		$4,779.97	$5,708.99	$7,765.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $2,500.00 / $3,101.70	Facility		$500.00	$2,500.00	$3,101.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,739.83 / $4,148.21 / $7,026.19	Professional		$2,739.83	$4,148.21	$7,026.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,981.28 / $4,362.38 / $6,718.24	Professional		$2,981.28	$4,362.38	$6,718.24
United Facility/Professional Facility Modifier Low / Median / High Price $2,303.00 / $10,133.00 / $20,037.00	Facility		$2,303.00	$10,133.00	$20,037.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,380.17 / $3,572.07 / $6,290.42	Professional		$2,380.17	$3,572.07	$6,290.42