Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,447.98 / $5,664.00 / $9,023.00	Facility		$2,447.98	$5,664.00	$9,023.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,850.77 / $2,507.65 / $4,624.06	Professional		$1,850.77	$2,507.65	$4,624.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,361.69 / $9,558.66 / $55,752.34	Facility		$2,361.69	$9,558.66	$55,752.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,110.37 / $3,229.58 / $5,698.18	Professional		$2,110.37	$3,229.58	$5,698.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,855.98 / $2,855.98 / $2,855.98	Facility		$2,855.98	$2,855.98	$2,855.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $2,500.00 / $2,651.02	Facility		$500.00	$2,500.00	$2,651.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,992.45 / $3,203.59 / $5,877.66	Professional		$1,992.45	$3,203.59	$5,877.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,579.35 / $3,751.78 / $8,755.70	Professional		$2,579.35	$3,751.78	$8,755.70
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 $1,925.95 / $2,930.22 / $5,320.44	Professional		$1,925.95	$2,930.22	$5,320.44