Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,042.22 / $5,063.00 / $7,631.00	Facility		$4,042.22	$5,063.00	$7,631.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,539.33 / $4,293.52 / $8,633.62	Professional		$3,539.33	$4,293.52	$8,633.62
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 $3,882.49 / $5,878.34 / $10,097.36	Professional		$3,882.49	$5,878.34	$10,097.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6,860.91 / $8,173.26 / $11,118.05	Facility		$6,860.91	$8,173.26	$11,118.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $2,500.00 / $4,449.92	Facility		$500.00	$2,500.00	$4,449.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,062.58 / $6,348.05 / $10,101.20	Professional		$4,062.58	$6,348.05	$10,101.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,268.14 / $6,313.04 / $9,846.98	Professional		$4,268.14	$6,313.04	$9,846.98
United Facility/Professional Facility Modifier Low / Median / High Price $2,303.00 / $10,133.00 / $20,037.00	Facility		$2,303.00	$10,133.00	$20,037.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,513.03 / $5,662.18 / $9,076.12	Professional		$3,513.03	$5,662.18	$9,076.12