Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,521.36 / $5,063.00 / $6,915.00	Facility		$2,521.36	$5,063.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,203.90 / $2,674.36 / $5,455.28	Professional		$2,203.90	$2,674.36	$5,455.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,614.69 / $8,652.36 / $21,657.35	Facility		$1,614.69	$8,652.36	$21,657.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,414.48 / $3,625.61 / $6,246.80	Professional		$2,414.48	$3,625.61	$6,246.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,018.93 / $4,018.93 / $4,018.93	Facility		$4,018.93	$4,018.93	$4,018.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $2,500.00 / $2,764.30	Facility		$500.00	$2,500.00	$2,764.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,666.95 / $3,973.95 / $6,324.70	Professional		$2,666.95	$3,973.95	$6,324.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,634.34 / $3,953.60 / $11,312.18	Professional		$2,634.34	$3,953.60	$11,312.18
United Facility/Professional Facility Modifier Low / Median / High Price $1,738.00 / $7,794.00 / $14,048.00	Facility		$1,738.00	$7,794.00	$14,048.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,226.63 / $3,571.90 / $5,621.86	Professional		$2,226.63	$3,571.90	$5,621.86