Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,771.00 / $5,063.00 / $7,421.00	Facility		$2,771.00	$5,063.00	$7,421.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,991.17 / $2,443.35 / $5,341.46	Professional		$1,991.17	$2,443.35	$5,341.46
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 $2,184.85 / $3,182.85 / $5,652.70	Professional		$2,184.85	$3,182.85	$5,652.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,263.73 / $3,263.73 / $3,263.73	Facility		$3,263.73	$3,263.73	$3,263.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $2,486.26 / $2,500.00	Facility		$500.00	$2,486.26	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,299.50 / $3,524.60 / $5,663.28	Professional		$2,299.50	$3,524.60	$5,663.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,388.77 / $3,337.88 / $6,379.62	Professional		$2,388.77	$3,337.88	$6,379.62
United Facility/Professional Facility Modifier Low / Median / High Price $2,845.00 / $7,766.00 / $11,889.00	Facility		$2,845.00	$7,766.00	$11,889.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,975.24 / $2,999.20 / $4,936.13	Professional		$1,975.24	$2,999.20	$4,936.13