Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,147.20 / $5,063.00 / $9,488.00	Facility		$1,147.20	$5,063.00	$9,488.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,090.86 / $1,336.08 / $2,519.84	Professional		$1,090.86	$1,336.08	$2,519.84
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 $1,106.84 / $1,620.37 / $3,165.60	Professional		$1,106.84	$1,620.37	$3,165.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,098.58 / $2,299.13 / $3,530.79	Facility		$2,098.58	$2,299.13	$3,530.79
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 $1,292.28 / $1,888.23 / $3,153.37	Professional		$1,292.28	$1,888.23	$3,153.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,099.32 / $1,429.12 / $3,125.45	Professional		$1,099.32	$1,429.12	$3,125.45
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 $1,173.69 / $1,671.03 / $2,970.54	Professional		$1,173.69	$1,671.03	$2,970.54