Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,175.88 / $4,592.00 / $7,631.00	Facility		$1,175.88	$4,592.00	$7,631.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,118.61 / $1,347.30 / $2,728.00	Professional		$1,118.61	$1,347.30	$2,728.00
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 $1,134.63 / $1,614.15 / $3,108.52	Professional		$1,134.63	$1,614.15	$3,108.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,152.26 / $2,358.42 / $3,621.87	Facility		$2,152.26	$2,358.42	$3,621.87
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 $1,315.67 / $1,949.69 / $3,225.52	Professional		$1,315.67	$1,949.69	$3,225.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,127.45 / $1,465.69 / $3,383.64	Professional		$1,127.45	$1,465.69	$3,383.64
United Facility/Professional Facility Modifier Low / Median / High Price $1,519.00 / $6,351.00 / $8,836.00	Facility		$1,519.00	$6,351.00	$8,836.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,203.28 / $1,736.35 / $3,067.22	Professional		$1,203.28	$1,736.35	$3,067.22