Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,225.00 / $5,063.00 / $6,915.00	Facility		$2,225.00	$5,063.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,530.03 / $1,845.70 / $3,819.88	Professional		$1,530.03	$1,845.70	$3,819.88
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 $1,661.95 / $2,362.87 / $4,320.85	Professional		$1,661.95	$2,362.87	$4,320.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,529.57 / $2,529.57 / $2,529.57	Facility		$2,529.57	$2,529.57	$2,529.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,910.77 / $2,500.00	Facility		$500.00	$1,910.77	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,704.94 / $2,730.42 / $4,350.68	Professional		$1,704.94	$2,730.42	$4,350.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,828.41 / $2,656.74 / $4,895.62	Professional		$1,828.41	$2,656.74	$4,895.62
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 $1,514.45 / $2,287.13 / $3,885.19	Professional		$1,514.45	$2,287.13	$3,885.19