Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,385.28 / $5,063.00 / $6,915.00	Facility		$3,385.28	$5,063.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,754.68 / $3,569.81 / $6,307.25	Professional		$2,754.68	$3,569.81	$6,307.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,082.02 / $4,431.64 / $21,657.35	Facility		$1,082.02	$4,431.64	$21,657.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,913.61 / $4,553.41 / $8,358.77	Professional		$2,913.61	$4,553.41	$8,358.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5,662.76 / $6,662.06 / $9,233.48	Facility		$5,662.76	$6,662.06	$9,233.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $2,500.00 / $3,690.11	Facility		$500.00	$2,500.00	$3,690.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,072.71 / $4,819.49 / $8,416.36	Professional		$3,072.71	$4,819.49	$8,416.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,544.66 / $4,833.63 / $7,987.82	Professional		$3,544.66	$4,833.63	$7,987.82
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 $2,730.10 / $4,074.34 / $7,348.08	Professional		$2,730.10	$4,074.34	$7,348.08