Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,985.89 / $11,158.40 / $11,158.40	Facility		$4,985.89	$11,158.40	$11,158.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8,096.00 / $8,096.00 / $10,912.00	Professional		$8,096.00	$8,096.00	$10,912.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,144.19 / $3,520.00 / $10,724.03	Facility		$2,144.19	$3,520.00	$10,724.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $861.30 / $1,148.40 / $3,520.00	Professional		$861.30	$1,148.40	$3,520.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,421.76 / $3,520.00 / $5,632.00	Facility		$2,421.76	$3,520.00	$5,632.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,576.00 / $7,744.00 / $9,768.15	Facility		$4,576.00	$7,744.00	$9,768.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,044.92 / $4,289.83 / $5,362.29	Professional		$4,044.92	$4,289.83	$5,362.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,872.00 / $4,048.00 / $4,576.00	Professional		$3,872.00	$4,048.00	$4,576.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,478.40 / $2,112.00 / $3,590.75	Professional		$1,478.40	$2,112.00	$3,590.75