Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,300.00 / $5,063.00 / $7,421.00	Facility		$2,300.00	$5,063.00	$7,421.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,509.64 / $1,841.84 / $4,203.18	Professional		$1,509.64	$1,841.84	$4,203.18
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 $1,652.15 / $2,432.38 / $4,346.93	Professional		$1,652.15	$2,432.38	$4,346.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,592.44 / $2,592.44 / $2,592.44	Facility		$2,592.44	$2,592.44	$2,592.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,911.01 / $2,500.00	Facility		$500.00	$1,911.01	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,735.83 / $2,701.73 / $4,346.59	Professional		$1,735.83	$2,701.73	$4,346.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,839.73 / $2,550.00 / $5,432.40	Professional		$1,839.73	$2,550.00	$5,432.40
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 $1,516.63 / $2,264.42 / $3,795.89	Professional		$1,516.63	$2,264.42	$3,795.89