Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,491.65 / $5,045.00 / $6,915.00	Facility		$1,491.65	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,184.67 / $1,469.78 / $2,037.31	Professional		$1,184.67	$1,469.78	$2,037.31
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 $1,055.59 / $1,591.94 / $2,968.44	Professional		$1,055.59	$1,591.94	$2,968.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,026.74 / $2,470.62 / $74,999.25	Facility		$2,026.74	$2,470.62	$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 $1,045.77 / $1,517.79 / $3,005.48	Professional		$1,045.77	$1,517.79	$3,005.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,290.18 / $1,860.58 / $9,450.75	Professional		$1,290.18	$1,860.58	$9,450.75
United Facility/Professional Facility Modifier Low / Median / High Price $990.00 / $6,000.00 / $8,554.00	Facility		$990.00	$6,000.00	$8,554.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,045.95 / $1,395.71 / $2,592.79	Professional		$1,045.95	$1,395.71	$2,592.79