Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,791.00 / $5,063.00 / $8,903.00	Facility		$1,791.00	$5,063.00	$8,903.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,152.22 / $1,413.10 / $3,145.20	Professional		$1,152.22	$1,413.10	$3,145.20
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 $1,264.42 / $1,826.24 / $3,304.12	Professional		$1,264.42	$1,826.24	$3,304.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,233.94 / $2,678.82 / $3,644.00	Facility		$2,233.94	$2,678.82	$3,644.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,449.04 / $2,500.00	Facility		$500.00	$1,449.04	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,354.93 / $2,013.91 / $3,297.63	Professional		$1,354.93	$2,013.91	$3,297.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,398.90 / $2,007.68 / $4,641.01	Professional		$1,398.90	$2,007.68	$4,641.01
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 $1,133.18 / $1,708.54 / $2,885.27	Professional		$1,133.18	$1,708.54	$2,885.27