Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,363.71 / $5,063.00 / $6,915.00	Facility		$2,363.71	$5,063.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,056.16 / $2,500.63 / $5,374.74	Professional		$2,056.16	$2,500.63	$5,374.74
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 $2,265.05 / $3,296.94 / $5,886.69	Professional		$2,265.05	$3,296.94	$5,886.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,535.32 / $3,535.32 / $3,535.32	Facility		$3,535.32	$3,535.32	$3,535.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $2,500.00 / $2,592.29	Facility		$500.00	$2,500.00	$2,592.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,439.67 / $3,688.63 / $5,895.08	Professional		$2,439.67	$3,688.63	$5,895.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,491.56 / $3,530.32 / $6,946.58	Professional		$2,491.56	$3,530.32	$6,946.58
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 $2,019.66 / $3,234.59 / $5,493.65	Professional		$2,019.66	$3,234.59	$5,493.65