Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,069.79 / $5,063.00 / $7,421.00	Facility		$2,069.79	$5,063.00	$7,421.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,261.27 / $1,509.07 / $3,086.69	Professional		$1,261.27	$1,509.07	$3,086.69
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 $1,367.49 / $2,044.91 / $3,756.93	Professional		$1,367.49	$2,044.91	$3,756.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,338.94 / $2,338.94 / $2,338.94	Facility		$2,338.94	$2,338.94	$2,338.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,576.24 / $2,500.00	Facility		$500.00	$1,576.24	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,457.76 / $2,199.94 / $3,581.54	Professional		$1,457.76	$2,199.94	$3,581.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,504.24 / $2,192.21 / $3,389.78	Professional		$1,504.24	$2,192.21	$3,389.78
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 $1,273.92 / $2,014.61 / $3,121.24	Professional		$1,273.92	$2,014.61	$3,121.24