Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,869.09 / $5,063.00 / $6,915.00	Facility		$2,869.09	$5,063.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,489.15 / $3,102.72 / $7,560.82	Professional		$2,489.15	$3,102.72	$7,560.82
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 $2,744.96 / $4,105.88 / $7,182.35	Professional		$2,744.96	$4,105.88	$7,182.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,605.72 / $4,605.72 / $4,605.72	Facility		$4,605.72	$4,605.72	$4,605.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $2,500.00 / $3,184.07	Facility		$500.00	$2,500.00	$3,184.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,853.75 / $4,508.14 / $7,298.32	Professional		$2,853.75	$4,508.14	$7,298.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,019.16 / $4,391.50 / $9,771.99	Professional		$3,019.16	$4,391.50	$9,771.99
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 $2,482.31 / $4,000.91 / $6,382.28	Professional		$2,482.31	$4,000.91	$6,382.28