Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,312.27 / $5,063.00 / $7,421.00	Facility		$2,312.27	$5,063.00	$7,421.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,708.24 / $2,283.79 / $4,283.97	Professional		$1,708.24	$2,283.79	$4,283.97
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 $1,960.85 / $2,936.37 / $5,190.99	Professional		$1,960.85	$2,936.37	$5,190.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,697.64 / $2,697.64 / $2,697.64	Facility		$2,697.64	$2,697.64	$2,697.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $2,409.73 / $2,500.00	Facility		$500.00	$2,409.73	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,951.63 / $2,913.52 / $5,422.81	Professional		$1,951.63	$2,913.52	$5,422.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,339.85 / $3,238.86 / $5,272.81	Professional		$2,339.85	$3,238.86	$5,272.81
United Facility/Professional Facility Modifier Low / Median / High Price $2,845.00 / $7,357.00 / $11,889.00	Facility		$2,845.00	$7,357.00	$11,889.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,802.50 / $2,611.03 / $4,866.30	Professional		$1,802.50	$2,611.03	$4,866.30