Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,250.10 / $5,045.00 / $6,915.00	Facility		$1,250.10	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $972.99 / $1,310.85 / $2,335.60	Professional		$972.99	$1,310.85	$2,335.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,206.31 / $5,656.86 / $12,326.53	Facility		$2,206.31	$5,656.86	$12,326.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,090.47 / $1,687.74 / $2,944.58	Professional		$1,090.47	$1,687.74	$2,944.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,115.23 / $2,488.52 / $3,471.83	Facility		$2,115.23	$2,488.52	$3,471.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,379.44 / $2,500.00	Facility		$500.00	$1,379.44	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,105.79 / $1,708.30 / $3,095.29	Professional		$1,105.79	$1,708.30	$3,095.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,332.80 / $1,817.46 / $3,003.44	Professional		$1,332.80	$1,817.46	$3,003.44
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 $988.79 / $1,413.37 / $2,760.40	Professional		$988.79	$1,413.37	$2,760.40