Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,225.63 / $5,063.00 / $6,915.00	Facility		$2,225.63	$5,063.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,969.04 / $2,308.06 / $5,422.47	Professional		$1,969.04	$2,308.06	$5,422.47
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 $2,107.51 / $2,950.51 / $5,331.99	Professional		$2,107.51	$2,950.51	$5,331.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,964.73 / $4,289.79 / $6,587.90	Facility		$3,964.73	$4,289.79	$6,587.90
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 $2,296.07 / $3,460.15 / $5,484.73	Professional		$2,296.07	$3,460.15	$5,484.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,076.90 / $2,699.97 / $5,672.23	Professional		$2,076.90	$2,699.97	$5,672.23
United Facility/Professional Facility Modifier Low / Median / High Price $1,738.00 / $7,794.00 / $14,048.00	Facility		$1,738.00	$7,794.00	$14,048.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,193.67 / $3,089.95 / $4,731.97	Professional		$2,193.67	$3,089.95	$4,731.97