Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,173.77 / $5,045.00 / $6,915.00	Facility		$1,173.77	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,115.66 / $1,367.25 / $2,585.36	Professional		$1,115.66	$1,367.25	$2,585.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,298.47 / $4,431.64 / $10,456.09	Facility		$1,298.47	$4,431.64	$10,456.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,132.30 / $1,596.54 / $3,112.99	Professional		$1,132.30	$1,596.54	$3,112.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,147.96 / $2,353.67 / $3,614.58	Facility		$2,147.96	$2,353.67	$3,614.58
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 $1,310.43 / $1,932.32 / $3,193.40	Professional		$1,310.43	$1,932.32	$3,193.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,125.19 / $1,462.75 / $3,206.70	Professional		$1,125.19	$1,462.75	$3,206.70
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 $1,191.30 / $1,720.08 / $3,009.59	Professional		$1,191.30	$1,720.08	$3,009.59