Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,053.26 / $5,063.00 / $8,155.00	Facility		$2,053.26	$5,063.00	$8,155.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,419.50 / $1,719.52 / $3,389.91	Professional		$1,419.50	$1,719.52	$3,389.91
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 $1,567.66 / $2,204.58 / $4,074.11	Professional		$1,567.66	$2,204.58	$4,074.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,760.48 / $3,300.65 / $4,491.92	Facility		$2,760.48	$3,300.65	$4,491.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,790.02 / $2,500.00	Facility		$500.00	$1,790.02	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,604.31 / $2,505.88 / $4,049.96	Professional		$1,604.31	$2,505.88	$4,049.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,724.43 / $2,512.46 / $3,885.96	Professional		$1,724.43	$2,512.46	$3,885.96
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 $1,407.30 / $2,117.42 / $3,989.07	Professional		$1,407.30	$2,117.42	$3,989.07