Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,112.93 / $5,045.00 / $6,915.00	Facility		$1,112.93	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,041.18 / $1,270.58 / $2,263.48	Professional		$1,041.18	$1,270.58	$2,263.48
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 $1,075.95 / $1,516.52 / $2,846.60	Professional		$1,075.95	$1,516.52	$2,846.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,053.94 / $2,245.32 / $3,448.17	Facility		$2,053.94	$2,245.32	$3,448.17
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 $1,163.60 / $1,820.00 / $2,991.05	Professional		$1,163.60	$1,820.00	$2,991.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,075.95 / $1,398.74 / $2,440.44	Professional		$1,075.95	$1,398.74	$2,440.44
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 $1,087.48 / $1,569.27 / $2,764.41	Professional		$1,087.48	$1,569.27	$2,764.41