Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,332.71 / $5,063.00 / $6,915.00	Facility		$2,332.71	$5,063.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,882.01 / $2,444.83 / $6,585.12	Professional		$1,882.01	$2,444.83	$6,585.12
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 $2,022.20 / $3,101.29 / $5,610.92	Professional		$2,022.20	$3,101.29	$5,610.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,029.90 / $3,029.90 / $3,029.90	Facility		$3,029.90	$3,029.90	$3,029.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $2,500.00 / $2,513.88	Facility		$500.00	$2,500.00	$2,513.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,120.15 / $3,271.03 / $5,729.32	Professional		$2,120.15	$3,271.03	$5,729.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,427.05 / $3,309.62 / $8,569.17	Professional		$2,427.05	$3,309.62	$8,569.17
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 $1,915.96 / $2,890.80 / $5,012.89	Professional		$1,915.96	$2,890.80	$5,012.89