Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,798.61 / $5,063.00 / $7,421.00	Facility		$1,798.61	$5,063.00	$7,421.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,169.07 / $1,410.19 / $2,959.71	Professional		$1,169.07	$1,410.19	$2,959.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,282.27 / $5,155.99 / $39,007.80	Facility		$1,282.27	$5,155.99	$39,007.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,289.75 / $1,853.79 / $3,353.98	Professional		$1,289.75	$1,853.79	$3,353.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,266.04 / $2,716.79 / $3,695.64	Facility		$2,266.04	$2,716.79	$3,695.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,471.08 / $2,500.00	Facility		$500.00	$1,471.08	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,353.60 / $2,058.32 / $3,324.79	Professional		$1,353.60	$2,058.32	$3,324.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,418.73 / $2,039.77 / $3,671.02	Professional		$1,418.73	$2,039.77	$3,671.02
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 $1,152.20 / $1,807.19 / $3,128.16	Professional		$1,152.20	$1,807.19	$3,128.16