Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,142.26 / $4,817.00 / $6,915.00	Facility		$2,142.26	$4,817.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,397.30 / $1,678.30 / $3,865.92	Professional		$1,397.30	$1,678.30	$3,865.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,478.38 / $5,842.74 / $17,934.25	Facility		$1,478.38	$5,842.74	$17,934.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,510.37 / $2,198.90 / $3,932.92	Professional		$1,510.37	$2,198.90	$3,932.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,378.42 / $2,378.42 / $2,378.42	Facility		$2,378.42	$2,378.42	$2,378.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,738.56 / $2,500.00	Facility		$500.00	$1,738.56	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,569.29 / $2,511.50 / $3,957.87	Professional		$1,569.29	$2,511.50	$3,957.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,664.86 / $2,531.60 / $4,196.89	Professional		$1,664.86	$2,531.60	$4,196.89
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 $1,378.28 / $2,070.92 / $3,434.35	Professional		$1,378.28	$2,070.92	$3,434.35