Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,791.00 / $5,063.00 / $7,421.00	Facility		$1,791.00	$5,063.00	$7,421.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,099.48 / $1,301.23 / $2,697.60	Professional		$1,099.48	$1,301.23	$2,697.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,282.27 / $5,155.99 / $21,657.35	Facility		$1,282.27	$5,155.99	$21,657.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,261.07 / $1,826.07 / $3,330.40	Professional		$1,261.07	$1,826.07	$3,330.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,967.91 / $1,967.91 / $1,967.91	Facility		$1,967.91	$1,967.91	$1,967.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,480.64 / $2,500.00	Facility		$500.00	$1,480.64	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,345.26 / $1,987.59 / $3,352.73	Professional		$1,345.26	$1,987.59	$3,352.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,429.54 / $1,949.37 / $3,221.41	Professional		$1,429.54	$1,949.37	$3,221.41
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 $1,077.66 / $1,705.49 / $2,946.83	Professional		$1,077.66	$1,705.49	$2,946.83