Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,669.86 / $5,045.00 / $6,915.00	Facility		$1,669.86	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,460.36 / $1,765.25 / $3,776.83	Professional		$1,460.36	$1,765.25	$3,776.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,282.27 / $5,155.99 / $55,752.34	Facility		$1,282.27	$5,155.99	$55,752.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,610.05 / $2,320.39 / $4,185.97	Professional		$1,610.05	$2,320.39	$4,185.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,464.67 / $2,464.67 / $2,464.67	Facility		$2,464.67	$2,464.67	$2,464.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,838.16 / $2,500.00	Facility		$500.00	$1,838.16	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,683.80 / $2,579.37 / $4,177.74	Professional		$1,683.80	$2,579.37	$4,177.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,771.06 / $2,536.71 / $6,008.70	Professional		$1,771.06	$2,536.71	$6,008.70
United Facility/Professional Facility Modifier Low / Median / High Price $2,303.00 / $10,133.00 / $20,037.00	Facility		$2,303.00	$10,133.00	$20,037.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,441.47 / $2,191.67 / $3,709.28	Professional		$1,441.47	$2,191.67	$3,709.28