Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,051.08 / $5,045.00 / $6,915.00	Facility		$1,051.08	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.56 / $1,203.23 / $2,418.00	Professional		$1,000.56	$1,203.23	$2,418.00
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 $1,014.88 / $1,430.98 / $2,778.59	Professional		$1,014.88	$1,430.98	$2,778.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,926.60 / $2,109.19 / $3,239.13	Facility		$1,926.60	$2,109.19	$3,239.13
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 $1,175.42 / $1,730.43 / $2,872.81	Professional		$1,175.42	$1,730.43	$2,872.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,009.24 / $1,312.01 / $2,999.12	Professional		$1,009.24	$1,312.01	$2,999.12
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 $1,071.70 / $1,552.54 / $2,697.49	Professional		$1,071.70	$1,552.54	$2,697.49