Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,114.38 / $5,045.00 / $6,915.00	Facility		$1,114.38	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $936.06 / $1,221.65 / $2,211.31	Professional		$936.06	$1,221.65	$2,211.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,478.38 / $5,842.74 / $19,414.96	Facility		$1,478.38	$5,842.74	$19,414.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $932.25 / $1,485.30 / $2,923.40	Professional		$932.25	$1,485.30	$2,923.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,955.55 / $2,300.66 / $3,176.88	Facility		$1,955.55	$2,300.66	$3,176.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,249.74 / $2,500.00	Facility		$500.00	$1,249.74	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $974.20 / $1,527.10 / $2,826.70	Professional		$974.20	$1,527.10	$2,826.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,275.02 / $1,663.07 / $3,206.35	Professional		$1,275.02	$1,663.07	$3,206.35
United Facility/Professional Facility Modifier Low / Median / High Price $625.00 / $3,587.00 / $9,079.00	Facility		$625.00	$3,587.00	$9,079.00
United Facility/Professional Professional Modifier Low / Median / High Price $847.75 / $1,264.69 / $2,844.09	Professional		$847.75	$1,264.69	$2,844.09