Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,562.00 / $5,917.00 / $14,497.00	Facility		$3,562.00	$5,917.00	$14,497.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,004.10 / $2,004.10 / $5,063.00	Professional		$2,004.10	$2,004.10	$5,063.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $2,260.19 / $7,672.64	Facility		$450.00	$2,260.19	$7,672.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $0.02	Professional		$0.02	$0.02	$0.02
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
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13,697.00 / $13,697.00 / $13,697.00	Professional		$13,697.00	$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