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 / $7,421.00	Facility		$1,791.00	$5,063.00	$7,421.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,098.88 / $1,320.35 / $2,589.38	Professional		$1,098.88	$1,320.35	$2,589.38
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 $1,219.00 / $1,778.44 / $3,153.84	Professional		$1,219.00	$1,778.44	$3,153.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,130.00 / $2,555.82 / $3,476.66	Facility		$2,130.00	$2,555.82	$3,476.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,382.39 / $2,500.00	Facility		$500.00	$1,382.39	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,288.78 / $1,929.14 / $3,123.74	Professional		$1,288.78	$1,929.14	$3,123.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,334.67 / $1,913.10 / $3,007.64	Professional		$1,334.67	$1,913.10	$3,007.64
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 $1,080.35 / $1,652.31 / $2,754.04	Professional		$1,080.35	$1,652.31	$2,754.04