Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,160.09 / $4,733.00 / $6,915.00	Facility		$1,160.09	$4,733.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,102.93 / $1,329.10 / $2,666.00	Professional		$1,102.93	$1,329.10	$2,666.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,556.18 / $5,523.39 / $15,411.81	Facility		$1,556.18	$5,523.39	$15,411.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,119.08 / $1,577.91 / $3,066.79	Professional		$1,119.08	$1,577.91	$3,066.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,121.65 / $2,324.61 / $3,569.94	Facility		$2,121.65	$2,324.61	$3,569.94
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 $1,298.52 / $1,906.97 / $3,176.28	Professional		$1,298.52	$1,906.97	$3,176.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,111.41 / $1,444.83 / $3,306.73	Professional		$1,111.41	$1,444.83	$3,306.73
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 $1,184.91 / $1,690.16 / $2,974.45	Professional		$1,184.91	$1,690.16	$2,974.45