Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,383.41 / $5,664.00 / $9,023.00	Facility		$2,383.41	$5,664.00	$9,023.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,846.53 / $2,447.19 / $4,382.14	Professional		$1,846.53	$2,447.19	$4,382.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,361.69 / $9,558.66 / $39,007.80	Facility		$2,361.69	$9,558.66	$39,007.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,060.78 / $3,113.30 / $5,769.00	Professional		$2,060.78	$3,113.30	$5,769.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,780.65 / $2,780.65 / $2,780.65	Facility		$2,780.65	$2,780.65	$2,780.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $2,500.00 / $2,586.94	Facility		$500.00	$2,500.00	$2,586.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,008.51 / $3,246.55 / $5,788.65	Professional		$2,008.51	$3,246.55	$5,788.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,518.73 / $3,663.62 / $8,477.06	Professional		$2,518.73	$3,663.62	$8,477.06
United Facility/Professional Facility Modifier Low / Median / High Price $1,998.00 / $9,172.00 / $18,613.00	Facility		$1,998.00	$9,172.00	$18,613.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,881.86 / $2,857.46 / $5,213.24	Professional		$1,881.86	$2,857.46	$5,213.24