Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $7,413.10 / $14,454.40	Facility		$2,344.23	$7,413.10	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $1,513.56 / $4,786.30	Professional		$389.05	$1,513.56	$4,786.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $4,570.88 / $12,302.69	Facility		$1,513.56	$4,570.88	$12,302.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $2,884.03	Professional		$0.02	$0.02	$2,884.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $69,183.10 / $69,183.10 / $69,183.10	Professional		$69,183.10	$69,183.10	$69,183.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $831.76 / $9,772.37	Facility		$501.19	$831.76	$9,772.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,380.38	Professional		$1,380.38	$1,380.38	$1,380.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13,803.84 / $13,803.84 / $13,803.84	Professional		$13,803.84	$13,803.84	$13,803.84
United Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $5,370.32 / $10,964.78	Facility		$741.31	$5,370.32	$10,964.78