Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,462.14 / $5,063.00 / $7,421.00	Facility		$1,462.14	$5,063.00	$7,421.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $918.95 / $1,215.32 / $2,310.17	Professional		$918.95	$1,215.32	$2,310.17
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 $1,040.29 / $1,606.46 / $2,802.76	Professional		$1,040.29	$1,606.46	$2,802.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,527.79 / $1,527.79 / $1,527.79	Facility		$1,527.79	$1,527.79	$1,527.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,303.43 / $2,500.00	Facility		$500.00	$1,303.43	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,043.03 / $1,622.94 / $2,887.78	Professional		$1,043.03	$1,622.94	$2,887.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,271.47 / $1,733.82 / $2,865.23	Professional		$1,271.47	$1,733.82	$2,865.23
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 $966.98 / $1,411.57 / $2,627.25	Professional		$966.98	$1,411.57	$2,627.25