Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,225.00 / $5,063.00 / $6,915.00	Facility		$2,225.00	$5,063.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,819.75 / $2,055.62 / $4,605.74	Professional		$1,819.75	$2,055.62	$4,605.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,406.20 / $4,415.29 / $8,702.00	Facility		$1,406.20	$4,415.29	$8,702.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,949.36 / $2,729.10 / $4,931.89	Professional		$1,949.36	$2,729.10	$4,931.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,664.67 / $3,960.23 / $6,081.77	Facility		$3,664.67	$3,960.23	$6,081.77
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 $2,130.35 / $3,196.12 / $5,073.17	Professional		$2,130.35	$3,196.12	$5,073.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,919.71 / $2,495.62 / $4,953.79	Professional		$1,919.71	$2,495.62	$4,953.79
United Facility/Professional Facility Modifier Low / Median / High Price $2,845.00 / $7,357.00 / $11,889.00	Facility		$2,845.00	$7,357.00	$11,889.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,025.29 / $2,696.97 / $4,619.00	Professional		$2,025.29	$2,696.97	$4,619.00