Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,542.63 / $5,063.00 / $6,915.00	Facility		$2,542.63	$5,063.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,198.05 / $2,691.10 / $5,820.91	Professional		$2,198.05	$2,691.10	$5,820.91
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 $2,442.96 / $3,531.09 / $6,331.91	Professional		$2,442.96	$3,531.09	$6,331.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,920.61 / $3,920.61 / $3,920.61	Facility		$3,920.61	$3,920.61	$3,920.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $2,500.00 / $2,789.24	Facility		$500.00	$2,500.00	$2,789.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,597.00 / $3,965.76 / $6,342.88	Professional		$2,597.00	$3,965.76	$6,342.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,678.76 / $4,115.56 / $7,523.22	Professional		$2,678.76	$4,115.56	$7,523.22
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 $2,218.50 / $3,486.10 / $5,608.24	Professional		$2,218.50	$3,486.10	$5,608.24