Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,225.00 / $5,045.00 / $6,915.00	Facility		$2,225.00	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,755.75 / $2,148.80 / $4,825.01	Professional		$1,755.75	$2,148.80	$4,825.01
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 $1,904.27 / $2,894.49 / $5,038.50	Professional		$1,904.27	$2,894.49	$5,038.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,330.22 / $3,330.22 / $3,330.22	Facility		$3,330.22	$3,330.22	$3,330.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $2,204.04 / $2,500.00	Facility		$500.00	$2,204.04	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,181.92 / $3,183.66 / $4,997.72	Professional		$2,181.92	$3,183.66	$4,997.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,094.69 / $3,046.83 / $6,236.07	Professional		$2,094.69	$3,046.83	$6,236.07
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 $1,751.42 / $2,759.32 / $4,429.68	Professional		$1,751.42	$2,759.32	$4,429.68