Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,338.00 / $6,915.00 / $14,497.00	Facility		$4,338.00	$6,915.00	$14,497.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,095.42 / $2,400.00 / $5,112.60	Professional		$2,095.42	$2,400.00	$5,112.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $814.00 / $3,733.69 / $9,156.52	Facility		$814.00	$3,733.69	$9,156.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $5,376.84 / $5,376.84	Professional		$0.02	$5,376.84	$5,376.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $74,999.25 / $74,999.25 / $119,998.80	Facility		$74,999.25	$74,999.25	$119,998.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $69,861.80 / $69,861.80 / $69,861.80	Professional		$69,861.80	$69,861.80	$69,861.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $617.00 / $1,233.00	Facility		$200.00	$617.00	$1,233.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,515.00 / $1,515.00 / $1,515.00	Professional		$1,515.00	$1,515.00	$1,515.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,400.00 / $13,697.00 / $13,697.00	Professional		$1,400.00	$13,697.00	$13,697.00
United Facility/Professional Facility Modifier Low / Median / High Price $741.00 / $5,664.00 / $11,889.00	Facility		$741.00	$5,664.00	$11,889.00