Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,518.33 / $5,063.00 / $6,915.00	Facility		$3,518.33	$5,063.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,842.80 / $3,708.40 / $6,551.33	Professional		$2,842.80	$3,708.40	$6,551.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,282.27 / $5,155.99 / $21,657.35	Facility		$1,282.27	$5,155.99	$21,657.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,273.55 / $4,736.99 / $8,380.56	Professional		$3,273.55	$4,736.99	$8,380.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,818.21 / $4,818.21 / $4,818.21	Facility		$4,818.21	$4,818.21	$4,818.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $2,500.00 / $3,837.41	Facility		$500.00	$2,500.00	$3,837.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,123.23 / $5,096.62 / $8,736.87	Professional		$3,123.23	$5,096.62	$8,736.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,687.83 / $5,340.43 / $8,310.42	Professional		$3,687.83	$5,340.43	$8,310.42
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 $2,938.92 / $4,300.89 / $7,825.32	Professional		$2,938.92	$4,300.89	$7,825.32