Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,791.00 / $5,063.00 / $7,421.00	Facility		$1,791.00	$5,063.00	$7,421.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,114.41 / $1,357.48 / $3,259.22	Professional		$1,114.41	$1,357.48	$3,259.22
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 $1,208.24 / $1,733.91 / $3,126.00	Professional		$1,208.24	$1,733.91	$3,126.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,947.16 / $1,947.16 / $1,947.16	Facility		$1,947.16	$1,947.16	$1,947.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,381.30 / $2,500.00	Facility		$500.00	$1,381.30	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,248.30 / $2,015.78 / $3,146.07	Professional		$1,248.30	$2,015.78	$3,146.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,324.22 / $1,863.71 / $4,212.37	Professional		$1,324.22	$1,863.71	$4,212.37
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 $1,097.59 / $1,664.83 / $2,729.73	Professional		$1,097.59	$1,664.83	$2,729.73