Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,370.03 / $5,063.00 / $6,915.00	Facility		$2,370.03	$5,063.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,335.53 / $2,630.90 / $5,762.03	Professional		$2,335.53	$2,630.90	$5,762.03
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 $2,507.42 / $3,510.40 / $6,343.80	Professional		$2,507.42	$3,510.40	$6,343.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,726.20 / $5,088.99 / $7,815.24	Facility		$4,726.20	$5,088.99	$7,815.24
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 $2,696.83 / $3,927.98 / $6,525.53	Professional		$2,696.83	$3,927.98	$6,525.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,475.80 / $3,218.54 / $4,609.76	Professional		$2,475.80	$3,218.54	$4,609.76
United Facility/Professional Facility Modifier Low / Median / High Price $1,162.00 / $3,372.00 / $8,133.00	Facility		$1,162.00	$3,372.00	$8,133.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,580.73 / $3,675.86 / $6,299.92	Professional		$2,580.73	$3,675.86	$6,299.92