Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,246.57 / $5,045.00 / $6,915.00	Facility		$1,246.57	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,186.50 / $1,450.54 / $2,945.72	Professional		$1,186.50	$1,450.54	$2,945.72
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 $1,203.43 / $1,712.57 / $3,357.57	Professional		$1,203.43	$1,712.57	$3,357.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,283.32 / $2,499.27 / $3,838.17	Facility		$2,283.32	$2,499.27	$3,838.17
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 $1,381.47 / $2,050.06 / $3,412.42	Professional		$1,381.47	$2,050.06	$3,412.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,196.09 / $1,554.93 / $3,653.67	Professional		$1,196.09	$1,554.93	$3,653.67
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 $1,274.28 / $1,782.21 / $2,999.12	Professional		$1,274.28	$1,782.21	$2,999.12