Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,825.91 / $5,045.00 / $6,915.00	Facility		$1,825.91	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,207.99 / $1,461.24 / $3,032.71	Professional		$1,207.99	$1,461.24	$3,032.71
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 $1,310.86 / $1,916.16 / $3,391.49	Professional		$1,310.86	$1,916.16	$3,391.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,265.98 / $2,743.35 / $3,731.76	Facility		$2,265.98	$2,743.35	$3,731.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,490.92 / $2,500.00	Facility		$500.00	$1,490.92	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,351.73 / $2,210.94 / $3,397.69	Professional		$1,351.73	$2,210.94	$3,397.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,432.60 / $2,190.67 / $3,761.57	Professional		$1,432.60	$2,190.67	$3,761.57
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 $1,205.27 / $1,922.34 / $2,961.57	Professional		$1,205.27	$1,922.34	$2,961.57