Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,636.07 / $5,045.00 / $6,915.00	Facility		$1,636.07	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,619.76 / $1,830.43 / $4,148.34	Professional		$1,619.76	$1,830.43	$4,148.34
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 $1,730.65 / $2,449.59 / $4,378.54	Professional		$1,730.65	$2,449.59	$4,378.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,261.45 / $3,537.93 / $5,433.26	Facility		$3,261.45	$3,537.93	$5,433.26
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 $1,926.23 / $2,896.36 / $4,503.97	Professional		$1,926.23	$2,896.36	$4,503.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,708.49 / $2,221.04 / $4,792.56	Professional		$1,708.49	$2,221.04	$4,792.56
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 $1,811.24 / $2,590.07 / $3,966.89	Professional		$1,811.24	$2,590.07	$3,966.89