Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,263.00 / $6,014.00 / $12,464.00	Facility		$3,263.00	$6,014.00	$12,464.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,228.07 / $2,750.17 / $5,975.69	Professional		$2,228.07	$2,750.17	$5,975.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,361.69 / $12,326.53 / $55,752.34	Facility		$2,361.69	$12,326.53	$55,752.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,445.96 / $3,601.76 / $6,362.40	Professional		$2,445.96	$3,601.76	$6,362.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,976.19 / $3,976.19 / $3,976.19	Facility		$3,976.19	$3,976.19	$3,976.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $2,500.00 / $2,802.44	Facility		$500.00	$2,500.00	$2,802.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,719.24 / $4,007.26 / $6,356.30	Professional		$2,719.24	$4,007.26	$6,356.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,690.56 / $4,133.67 / $6,063.10	Professional		$2,690.56	$4,133.67	$6,063.10
United Facility/Professional Facility Modifier Low / Median / High Price $2,303.00 / $10,133.00 / $20,037.00	Facility		$2,303.00	$10,133.00	$20,037.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,211.14 / $3,504.05 / $5,614.17	Professional		$2,211.14	$3,504.05	$5,614.17