Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,927.97 / $4,829.00 / $6,915.00	Facility		$1,927.97	$4,829.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,239.58 / $1,522.74 / $3,428.04	Professional		$1,239.58	$1,522.74	$3,428.04
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 $1,336.71 / $1,957.78 / $3,473.57	Professional		$1,336.71	$1,957.78	$3,473.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,054.17 / $2,054.17 / $2,054.17	Facility		$2,054.17	$2,054.17	$2,054.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,531.60 / $2,500.00	Facility		$500.00	$1,531.60	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,412.78 / $2,178.73 / $3,482.04	Professional		$1,412.78	$2,178.73	$3,482.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,470.16 / $2,258.69 / $4,251.91	Professional		$1,470.16	$2,258.69	$4,251.91
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 $1,212.63 / $1,871.27 / $3,332.67	Professional		$1,212.63	$1,871.27	$3,332.67