Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,791.00 / $5,045.00 / $6,915.00	Facility		$1,791.00	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,209.32 / $1,517.36 / $3,168.13	Professional		$1,209.32	$1,517.36	$3,168.13
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 $1,328.74 / $1,954.89 / $3,612.65	Professional		$1,328.74	$1,954.89	$3,612.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,027.55 / $2,027.55 / $2,027.55	Facility		$2,027.55	$2,027.55	$2,027.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,585.02 / $2,500.00	Facility		$500.00	$1,585.02	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,367.03 / $2,162.89 / $3,586.74	Professional		$1,367.03	$2,162.89	$3,586.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,531.02 / $2,087.76 / $3,929.53	Professional		$1,531.02	$2,087.76	$3,929.53
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 $1,249.19 / $1,788.76 / $3,203.43	Professional		$1,249.19	$1,788.76	$3,203.43