Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,512.94 / $5,045.00 / $6,915.00	Facility		$1,512.94	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $918.17 / $1,143.13 / $2,562.23	Professional		$918.17	$1,143.13	$2,562.23
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 $1,018.98 / $1,538.66 / $2,636.34	Professional		$1,018.98	$1,538.66	$2,636.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,689.71 / $1,689.71 / $1,689.71	Facility		$1,689.71	$1,689.71	$1,689.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,164.19 / $2,500.00	Facility		$500.00	$1,164.19	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,134.34 / $1,683.61 / $2,649.44	Professional		$1,134.34	$1,683.61	$2,649.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,112.08 / $1,620.12 / $3,814.82	Professional		$1,112.08	$1,620.12	$3,814.82
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 $965.67 / $1,468.26 / $2,646.14	Professional		$965.67	$1,468.26	$2,646.14