Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,482.18 / $5,045.00 / $6,915.00	Facility		$1,482.18	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,408.62 / $1,699.80 / $3,042.90	Professional		$1,408.62	$1,699.80	$3,042.90
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 $1,428.80 / $2,047.15 / $3,969.36	Professional		$1,428.80	$2,047.15	$3,969.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,709.45 / $2,971.92 / $4,066.94	Facility		$2,709.45	$2,971.92	$4,066.94
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 $1,665.02 / $2,442.26 / $4,062.73	Professional		$1,665.02	$2,442.26	$4,062.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,419.34 / $1,845.14 / $3,755.98	Professional		$1,419.34	$1,845.14	$3,755.98
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 $1,518.06 / $2,169.15 / $3,797.65	Professional		$1,518.06	$2,169.15	$3,797.65