Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,568.73 / $5,063.00 / $7,421.00	Facility		$1,568.73	$5,063.00	$7,421.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $991.90 / $1,214.11 / $2,583.01	Professional		$991.90	$1,214.11	$2,583.01
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 $1,115.91 / $1,573.42 / $2,900.36	Professional		$1,115.91	$1,573.42	$2,900.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,956.68 / $2,301.98 / $3,197.49	Facility		$1,956.68	$2,301.98	$3,197.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,270.14 / $2,500.00	Facility		$500.00	$1,270.14	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,141.23 / $1,751.08 / $2,894.65	Professional		$1,141.23	$1,751.08	$2,894.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,227.50 / $1,885.89 / $3,203.79	Professional		$1,227.50	$1,885.89	$3,203.79
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 $992.99 / $1,518.69 / $2,604.13	Professional		$992.99	$1,518.69	$2,604.13