Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,043.94 / $5,063.00 / $8,155.00	Facility		$2,043.94	$5,063.00	$8,155.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,315.78 / $1,588.91 / $3,132.03	Professional		$1,315.78	$1,588.91	$3,132.03
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 $1,458.15 / $2,139.62 / $3,772.56	Professional		$1,458.15	$2,139.62	$3,772.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,553.23 / $3,003.80 / $4,158.22	Facility		$2,553.23	$3,003.80	$4,158.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,656.40 / $2,500.00	Facility		$500.00	$1,656.40	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,556.47 / $2,315.84 / $3,745.04	Professional		$1,556.47	$2,315.84	$3,745.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,596.31 / $2,303.38 / $3,597.25	Professional		$1,596.31	$2,303.38	$3,597.25
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 $1,300.67 / $1,991.95 / $3,294.32	Professional		$1,300.67	$1,991.95	$3,294.32