Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,621.14 / $4,852.00 / $7,391.00	Facility		$2,621.14	$4,852.00	$7,391.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,450.62 / $1,767.47 / $4,889.78	Professional		$1,450.62	$1,767.47	$4,889.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,665.00 / $6,671.99 / $21,103.55	Facility		$1,665.00	$6,671.99	$21,103.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,583.97 / $2,305.94 / $4,261.45	Professional		$1,583.97	$2,305.94	$4,261.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,771.88 / $3,336.54 / $4,538.68	Facility		$2,771.88	$3,336.54	$4,538.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,350.00 / $1,877.47 / $19,150.23	Facility		$1,350.00	$1,877.47	$19,150.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,699.76 / $2,676.33 / $4,248.75	Professional		$1,699.76	$2,676.33	$4,248.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,742.37 / $2,676.91 / $4,502.05	Professional		$1,742.37	$2,676.91	$4,502.05
United Facility/Professional Facility Modifier Low / Median / High Price $2,845.00 / $7,766.00 / $11,889.00	Facility		$2,845.00	$7,766.00	$11,889.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,443.62 / $2,344.07 / $3,721.24	Professional		$1,443.62	$2,344.07	$3,721.24