Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,057.73 / $5,045.00 / $6,915.00	Facility		$2,057.73	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,812.30 / $2,269.41 / $4,592.00	Professional		$1,812.30	$2,269.41	$4,592.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,538.99 / $5,916.00 / $17,934.25	Facility		$1,538.99	$5,916.00	$17,934.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,951.23 / $2,882.16 / $5,689.82	Professional		$1,951.23	$2,882.16	$5,689.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,897.56 / $4,262.16 / $6,545.46	Facility		$3,897.56	$4,262.16	$6,545.46
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 $2,047.91 / $3,434.95 / $6,133.05	Professional		$2,047.91	$3,434.95	$6,133.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,041.72 / $2,858.41 / $4,847.24	Professional		$2,041.72	$2,858.41	$4,847.24
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 $1,977.98 / $2,740.53 / $5,325.97	Professional		$1,977.98	$2,740.53	$5,325.97