Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,347.16 / $5,063.00 / $7,421.00	Facility		$3,347.16	$5,063.00	$7,421.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,794.45 / $3,550.80 / $6,974.97	Professional		$2,794.45	$3,550.80	$6,974.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,361.69 / $9,558.66 / $55,752.34	Facility		$2,361.69	$9,558.66	$55,752.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,218.08 / $4,805.14 / $8,316.54	Professional		$3,218.08	$4,805.14	$8,316.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5,682.98 / $6,778.70 / $9,221.03	Facility		$5,682.98	$6,778.70	$9,221.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $2,500.00 / $3,686.20	Facility		$500.00	$2,500.00	$3,686.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,280.60 / $5,091.82 / $8,355.83	Professional		$3,280.60	$5,091.82	$8,355.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,539.89 / $5,144.00 / $7,977.06	Professional		$3,539.89	$5,144.00	$7,977.06
United Facility/Professional Facility Modifier Low / Median / High Price $3,800.00 / $9,588.00 / $18,000.00	Facility		$3,800.00	$9,588.00	$18,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,902.06 / $4,538.00 / $7,805.13	Professional		$2,902.06	$4,538.00	$7,805.13