Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,472.52 / $5,045.00 / $6,915.00	Facility		$1,472.52	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,287.31 / $1,618.59 / $3,526.36	Professional		$1,287.31	$1,618.59	$3,526.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,325.76 / $8,967.21 / $21,657.35	Facility		$2,325.76	$8,967.21	$21,657.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,445.00 / $2,070.90 / $3,991.88	Professional		$1,445.00	$2,070.90	$3,991.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,792.31 / $3,043.49 / $4,673.93	Facility		$2,792.31	$3,043.49	$4,673.93
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 $1,525.32 / $2,407.94 / $4,376.93	Professional		$1,525.32	$2,407.94	$4,376.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,462.74 / $2,047.84 / $2,915.31	Professional		$1,462.74	$2,047.84	$2,915.31
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 $1,485.09 / $1,951.26 / $3,793.58	Professional		$1,485.09	$1,951.26	$3,793.58