Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,155.09 / $5,045.00 / $6,915.00	Facility		$2,155.09	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,427.36 / $1,731.08 / $3,655.74	Professional		$1,427.36	$1,731.08	$3,655.74
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 $1,548.43 / $2,295.21 / $4,006.14	Professional		$1,548.43	$2,295.21	$4,006.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,514.28 / $2,514.28 / $2,514.28	Facility		$2,514.28	$2,514.28	$2,514.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,765.39 / $2,500.00	Facility		$500.00	$1,765.39	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,631.07 / $2,543.65 / $4,029.33	Professional		$1,631.07	$2,543.65	$4,029.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,692.83 / $2,578.67 / $4,724.85	Professional		$1,692.83	$2,578.67	$4,724.85
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 $1,428.59 / $2,174.09 / $3,643.41	Professional		$1,428.59	$2,174.09	$3,643.41