Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,206.23 / $5,045.00 / $6,915.00	Facility		$1,206.23	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,146.55 / $1,382.34 / $2,580.55	Professional		$1,146.55	$1,382.34	$2,580.55
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 $1,163.06 / $1,682.77 / $3,209.81	Professional		$1,163.06	$1,682.77	$3,209.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,207.28 / $2,419.21 / $3,715.23	Facility		$2,207.28	$2,419.21	$3,715.23
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 $1,356.55 / $1,985.12 / $3,371.79	Professional		$1,356.55	$1,985.12	$3,371.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,156.27 / $1,503.15 / $3,200.75	Professional		$1,156.27	$1,503.15	$3,200.75
United Facility/Professional Facility Modifier Low / Median / High Price $1,162.00 / $3,372.00 / $8,133.00	Facility		$1,162.00	$3,372.00	$8,133.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,233.91 / $1,797.16 / $3,091.35	Professional		$1,233.91	$1,797.16	$3,091.35