Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,291.33 / $5,045.00 / $6,915.00	Facility		$1,291.33	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,027.81 / $1,266.08 / $1,758.34	Professional		$1,027.81	$1,266.08	$1,758.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $875.94 / $2,795.56 / $6,271.28	Facility		$875.94	$2,795.56	$6,271.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $918.33 / $1,381.69 / $2,576.41	Professional		$918.33	$1,381.69	$2,576.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,760.19 / $2,149.35 / $74,999.25	Facility		$1,760.19	$2,149.35	$74,999.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.00 / $1,732.09 / $2,181.15	Facility		$630.00	$1,732.09	$2,181.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $908.91 / $1,299.08 / $2,584.59	Professional		$908.91	$1,299.08	$2,584.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,122.41 / $1,561.36 / $8,175.86	Professional		$1,122.41	$1,561.36	$8,175.86
United Facility/Professional Facility Modifier Low / Median / High Price $1,028.00 / $6,000.00 / $8,554.00	Facility		$1,028.00	$6,000.00	$8,554.00
United Facility/Professional Professional Modifier Low / Median / High Price $900.49 / $1,211.58 / $2,226.92	Professional		$900.49	$1,211.58	$2,226.92