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 $1,830.74 / $2,296.46 / $4,918.08	Professional		$1,830.74	$2,296.46	$4,918.08
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 $2,082.19 / $3,024.21 / $5,412.40	Professional		$2,082.19	$3,024.21	$5,412.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,152.24 / $3,152.24 / $3,152.24	Facility		$3,152.24	$3,152.24	$3,152.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $2,382.40 / $2,500.00	Facility		$500.00	$2,382.40	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,165.89 / $3,324.54 / $5,415.94	Professional		$2,165.89	$3,324.54	$5,415.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,291.38 / $3,137.00 / $6,356.36	Professional		$2,291.38	$3,137.00	$6,356.36
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 $1,892.41 / $2,902.10 / $4,726.29	Professional		$1,892.41	$2,902.10	$4,726.29