Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,165.60 / $4,708.00 / $6,915.00	Facility		$2,165.60	$4,708.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,277.66 / $1,576.12 / $3,528.48	Professional		$1,277.66	$1,576.12	$3,528.48
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 $1,381.16 / $2,020.68 / $3,580.23	Professional		$1,381.16	$2,020.68	$3,580.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,091.60 / $2,091.60 / $2,091.60	Facility		$2,091.60	$2,091.60	$2,091.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,579.28 / $2,500.00	Facility		$500.00	$1,579.28	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,460.91 / $2,225.75 / $3,589.06	Professional		$1,460.91	$2,225.75	$3,589.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,515.27 / $2,317.51 / $4,410.05	Professional		$1,515.27	$2,317.51	$4,410.05
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 $1,259.56 / $1,842.02 / $3,126.38	Professional		$1,259.56	$1,842.02	$3,126.38