Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,253.55 / $5,045.00 / $6,915.00	Facility		$1,253.55	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,192.53 / $1,458.71 / $2,884.70	Professional		$1,192.53	$1,458.71	$2,884.70
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 $1,209.69 / $1,693.56 / $3,313.84	Professional		$1,209.69	$1,693.56	$3,313.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,297.21 / $2,514.65 / $3,861.78	Facility		$2,297.21	$2,514.65	$3,861.78
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 $1,395.17 / $2,056.98 / $3,426.85	Professional		$1,395.17	$2,056.98	$3,426.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,203.38 / $1,564.39 / $3,577.98	Professional		$1,203.38	$1,564.39	$3,577.98
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 $1,280.41 / $1,820.06 / $3,215.28	Professional		$1,280.41	$1,820.06	$3,215.28