Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,430.67 / $6,014.00 / $11,945.14	Facility		$2,430.67	$6,014.00	$11,945.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,514.89 / $1,956.51 / $3,987.97	Professional		$1,514.89	$1,956.51	$3,987.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,361.69 / $10,727.41 / $55,752.34	Facility		$2,361.69	$10,727.41	$55,752.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,708.43 / $2,449.64 / $4,496.68	Professional		$1,708.43	$2,449.64	$4,496.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,340.66 / $2,340.66 / $2,340.66	Facility		$2,340.66	$2,340.66	$2,340.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,977.73 / $2,500.00	Facility		$500.00	$1,977.73	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,624.82 / $2,769.58 / $4,525.55	Professional		$1,624.82	$2,769.58	$4,525.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,903.28 / $2,924.12 / $7,221.24	Professional		$1,903.28	$2,924.12	$7,221.24
United Facility/Professional Facility Modifier Low / Median / High Price $2,303.00 / $10,133.00 / $25,511.00	Facility		$2,303.00	$10,133.00	$25,511.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,520.04 / $2,306.34 / $3,926.66	Professional		$1,520.04	$2,306.34	$3,926.66