Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,646.55 / $5,063.00 / $6,915.00	Facility		$2,646.55	$5,063.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,314.60 / $2,809.86 / $6,693.27	Professional		$2,314.60	$2,809.86	$6,693.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,478.38 / $5,842.74 / $17,934.25	Facility		$1,478.38	$5,842.74	$17,934.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,559.98 / $3,906.22 / $6,646.37	Professional		$2,559.98	$3,906.22	$6,646.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,558.59 / $4,558.59 / $4,558.59	Facility		$4,558.59	$4,558.59	$4,558.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $2,500.00 / $2,934.56	Facility		$500.00	$2,500.00	$2,934.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,729.21 / $4,163.92 / $6,658.53	Professional		$2,729.21	$4,163.92	$6,658.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,784.42 / $4,146.22 / $8,650.70	Professional		$2,784.42	$4,146.22	$8,650.70
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 $2,420.31 / $3,845.60 / $6,647.85	Professional		$2,420.31	$3,845.60	$6,647.85