Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,118.08 / $4,829.00 / $6,915.00	Facility		$2,118.08	$4,829.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.34 / $1,508.00 / $3,289.56	Professional		$1,202.34	$1,508.00	$3,289.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,376.26 / $4,412.76 / $8,702.00	Facility		$1,376.26	$4,412.76	$8,702.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,306.16 / $1,896.03 / $3,384.67	Professional		$1,306.16	$1,896.03	$3,384.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,060.84 / $2,060.84 / $2,060.84	Facility		$2,060.84	$2,060.84	$2,060.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,491.55 / $2,500.00	Facility		$500.00	$1,491.55	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,357.72 / $2,161.13 / $3,389.39	Professional		$1,357.72	$2,161.13	$3,389.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,432.46 / $2,148.75 / $4,069.01	Professional		$1,432.46	$2,148.75	$4,069.01
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 $1,207.57 / $1,902.35 / $3,397.25	Professional		$1,207.57	$1,902.35	$3,397.25