Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,225.00 / $5,063.00 / $6,915.00	Facility		$2,225.00	$5,063.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,712.00 / $2,187.19 / $5,893.38	Professional		$1,712.00	$2,187.19	$5,893.38
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 $1,806.88 / $2,782.41 / $5,141.93	Professional		$1,806.88	$2,782.41	$5,141.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,448.47 / $4,163.75 / $5,663.91	Facility		$3,448.47	$4,163.75	$5,663.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $2,252.73 / $2,500.00	Facility		$500.00	$2,252.73	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,905.32 / $3,088.09 / $5,269.33	Professional		$1,905.32	$3,088.09	$5,269.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,174.34 / $2,965.01 / $8,526.60	Professional		$2,174.34	$2,965.01	$8,526.60
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 $1,802.31 / $2,623.23 / $4,490.12	Professional		$1,802.31	$2,623.23	$4,490.12