Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,215.98 / $5,045.00 / $6,915.00	Facility		$2,215.98	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,977.51 / $2,379.67 / $5,587.48	Professional		$1,977.51	$2,379.67	$5,587.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,538.99 / $5,916.00 / $17,934.25	Facility		$1,538.99	$5,916.00	$17,934.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,991.49 / $2,768.17 / $4,779.58	Professional		$1,991.49	$2,768.17	$4,779.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,754.04 / $4,063.23 / $6,239.96	Facility		$3,754.04	$4,063.23	$6,239.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $550.00 / $550.00	Facility		$550.00	$550.00	$550.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,131.34 / $3,243.06 / $5,182.81	Professional		$2,131.34	$3,243.06	$5,182.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,966.53 / $2,556.48 / $4,342.26	Professional		$1,966.53	$2,556.48	$4,342.26
United Facility/Professional Facility Modifier Low / Median / High Price $607.00 / $3,629.00 / $10,000.00	Facility		$607.00	$3,629.00	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,027.71 / $2,959.54 / $4,879.47	Professional		$2,027.71	$2,959.54	$4,879.47