Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,653.42 / $5,045.00 / $6,915.00	Facility		$1,653.42	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,050.01 / $1,295.76 / $2,814.81	Professional		$1,050.01	$1,295.76	$2,814.81
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 $1,167.55 / $1,714.21 / $3,020.71	Professional		$1,167.55	$1,714.21	$3,020.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,046.26 / $2,450.69 / $3,333.66	Facility		$2,046.26	$2,450.69	$3,333.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,325.95 / $2,500.00	Facility		$500.00	$1,325.95	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,248.39 / $1,867.02 / $2,988.32	Professional		$1,248.39	$1,867.02	$2,988.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,279.77 / $1,853.55 / $3,491.31	Professional		$1,279.77	$1,853.55	$3,491.31
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 $1,055.72 / $1,593.75 / $2,680.12	Professional		$1,055.72	$1,593.75	$2,680.12