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 $1,947.20 / $2,342.07 / $5,452.31	Professional		$1,947.20	$2,342.07	$5,452.31
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 $2,112.17 / $3,267.40 / $5,542.06	Professional		$2,112.17	$3,267.40	$5,542.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,737.21 / $3,737.21 / $3,737.21	Facility		$3,737.21	$3,737.21	$3,737.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $2,447.00 / $2,500.00	Facility		$500.00	$2,447.00	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,383.80 / $3,503.16 / $5,547.86	Professional		$2,383.80	$3,503.16	$5,547.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,323.39 / $3,379.47 / $7,046.83	Professional		$2,323.39	$3,379.47	$7,046.83
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 $1,908.05 / $3,151.42 / $4,921.66	Professional		$1,908.05	$3,151.42	$4,921.66