Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $3,162.28 / $11,748.98	Facility		$2,344.23	$3,162.28	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,570.40 / $3,019.95	Professional		$2,344.23	$2,570.40	$3,019.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $3,801.89 / $4,570.88	Facility		$2,290.87	$3,801.89	$4,570.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $2,570.40	Professional		$1,148.15	$1,148.15	$2,570.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $2,398.83	Facility		$2,398.83	$2,398.83	$2,398.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $7,762.47 / $10,715.19	Facility		$5,495.41	$7,762.47	$10,715.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $4,265.80 / $5,370.32	Professional		$4,073.80	$4,265.80	$5,370.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $4,073.80 / $4,570.88	Professional		$3,890.45	$4,073.80	$4,570.88
United Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $3,162.28 / $3,548.13	Facility		$1,949.84	$3,162.28	$3,548.13
United Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,089.30 / $5,128.61	Professional		$1,479.11	$2,089.30	$5,128.61