Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,731.14 / $5,063.00 / $6,915.00	Facility		$2,731.14	$5,063.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,261.27 / $2,881.90 / $4,887.92	Professional		$2,261.27	$2,881.90	$4,887.92
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 $2,454.71 / $3,736.43 / $6,867.84	Professional		$2,454.71	$3,736.43	$6,867.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,217.24 / $4,217.24 / $4,217.24	Facility		$4,217.24	$4,217.24	$4,217.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $2,500.00 / $3,011.39	Facility		$500.00	$2,500.00	$3,011.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,476.38 / $4,095.34 / $6,793.96	Professional		$2,476.38	$4,095.34	$6,793.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,908.26 / $4,157.00 / $6,553.70	Professional		$2,908.26	$4,157.00	$6,553.70
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 $2,274.14 / $3,563.96 / $5,997.23	Professional		$2,274.14	$3,563.96	$5,997.23