Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,112.86 / $5,045.00 / $6,915.00	Facility		$2,112.86	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,849.29 / $2,238.48 / $4,685.51	Professional		$1,849.29	$2,238.48	$4,685.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,361.69 / $8,967.21 / $21,657.35	Facility		$2,361.69	$8,967.21	$21,657.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,044.44 / $3,145.18 / $5,538.83	Professional		$2,044.44	$3,145.18	$5,538.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,586.10 / $4,283.28 / $6,223.41	Facility		$3,586.10	$4,283.28	$6,223.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $2,326.54 / $2,500.00	Facility		$500.00	$2,326.54	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,262.27 / $3,385.38 / $5,270.27	Professional		$2,262.27	$3,385.38	$5,270.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,236.76 / $3,253.47 / $5,040.50	Professional		$2,236.76	$3,253.47	$5,040.50
United Facility/Professional Facility Modifier Low / Median / High Price $1,998.00 / $9,172.00 / $18,613.00	Facility		$1,998.00	$9,172.00	$18,613.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,936.23 / $3,259.01 / $5,309.09	Professional		$1,936.23	$3,259.01	$5,309.09