Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,407.93 / $5,063.00 / $6,915.00	Facility		$3,407.93	$5,063.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,779.20 / $3,593.66 / $6,969.94	Professional		$2,779.20	$3,593.66	$6,969.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,318.35 / $4,431.64 / $21,657.35	Facility		$1,318.35	$4,431.64	$21,657.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,243.95 / $4,682.21 / $8,471.29	Professional		$3,243.95	$4,682.21	$8,471.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5,700.38 / $6,833.19 / $9,295.14	Facility		$5,700.38	$6,833.19	$9,295.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $2,500.00 / $3,714.84	Facility		$500.00	$2,500.00	$3,714.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,373.78 / $5,221.97 / $8,473.14	Professional		$3,373.78	$5,221.97	$8,473.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,568.35 / $5,243.16 / $8,041.19	Professional		$3,568.35	$5,243.16	$8,041.19
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 $2,919.76 / $4,460.22 / $7,397.41	Professional		$2,919.76	$4,460.22	$7,397.41