Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,791.00 / $5,137.00 / $7,647.00	Facility		$1,791.00	$5,137.00	$7,647.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,505.90 / $1,767.23 / $2,234.53	Professional		$1,505.90	$1,767.23	$2,234.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,023.79 / $8,207.70 / $21,657.35	Facility		$2,023.79	$8,207.70	$21,657.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,671.20 / $2,650.69 / $4,327.02	Professional		$1,671.20	$2,650.69	$4,327.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,061.08 / $3,061.08 / $3,061.08	Facility		$3,061.08	$3,061.08	$3,061.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,894.69 / $2,500.00	Facility		$500.00	$1,894.69	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,813.65 / $2,799.01 / $4,326.56	Professional		$1,813.65	$2,799.01	$4,326.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,818.55 / $2,057.06 / $4,098.06	Professional		$1,818.55	$2,057.06	$4,098.06
United Facility/Professional Facility Modifier Low / Median / High Price $1,998.00 / $9,172.00 / $18,613.00	Facility		$1,998.00	$9,172.00	$18,613.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,517.41 / $2,554.08 / $3,977.22	Professional		$1,517.41	$2,554.08	$3,977.22