Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,654.52 / $1,654.52 / $4,419.43	Facility		$1,654.52	$1,654.52	$4,419.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,318.64 / $1,654.52 / $1,654.52	Professional		$1,318.64	$1,654.52	$1,654.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $595.61 / $2,488.00 / $3,190.47	Facility		$595.61	$2,488.00	$3,190.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $269.10 / $358.80 / $2,488.00	Professional		$269.10	$358.80	$2,488.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,617.20 / $3,483.20 / $5,347.43	Facility		$1,617.20	$3,483.20	$5,347.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,716.97 / $5,473.60 / $6,904.58	Facility		$3,716.97	$5,473.60	$6,904.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,859.20 / $3,032.25 / $3,790.31	Professional		$2,859.20	$3,032.25	$3,790.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,736.80 / $2,861.20 / $3,234.40	Professional		$2,736.80	$2,861.20	$3,234.40
United Facility/Professional Professional Modifier Low / Median / High Price $1,044.96 / $1,492.80 / $2,538.01	Professional		$1,044.96	$1,492.80	$2,538.01