Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,225.00 / $5,045.00 / $6,915.00	Facility		$2,225.00	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,542.21 / $1,879.32 / $3,683.72	Professional		$1,542.21	$1,879.32	$3,683.72
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 $1,713.00 / $2,476.08 / $4,440.75	Professional		$1,713.00	$2,476.08	$4,440.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,629.29 / $2,629.29 / $2,629.29	Facility		$2,629.29	$2,629.29	$2,629.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,952.89 / $2,500.00	Facility		$500.00	$1,952.89	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,799.69 / $2,730.29 / $4,437.02	Professional		$1,799.69	$2,730.29	$4,437.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,881.65 / $2,744.06 / $4,240.26	Professional		$1,881.65	$2,744.06	$4,240.26
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 $1,516.04 / $2,389.83 / $3,934.01	Professional		$1,516.04	$2,389.83	$3,934.01