Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,230.01 / $5,045.00 / $6,915.00	Facility		$1,230.01	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,168.93 / $1,409.79 / $2,639.56	Professional		$1,168.93	$1,409.79	$2,639.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,538.99 / $5,842.74 / $15,411.81	Facility		$1,538.99	$5,842.74	$15,411.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,185.52 / $1,659.72 / $3,134.76	Professional		$1,185.52	$1,659.72	$3,134.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,248.86 / $2,465.09 / $3,785.67	Facility		$2,248.86	$2,465.09	$3,785.67
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 $1,337.53 / $2,025.15 / $3,366.11	Professional		$1,337.53	$2,025.15	$3,366.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,178.05 / $1,531.47 / $3,273.93	Professional		$1,178.05	$1,531.47	$3,273.93
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 $1,244.08 / $1,711.45 / $3,093.09	Professional		$1,244.08	$1,711.45	$3,093.09