Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,485.00 / $5,809.00 / $12,902.00	Facility		$2,485.00	$5,809.00	$12,902.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $215.22 / $817.07 / $10,572.00	Professional		$215.22	$817.07	$10,572.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,651.82 / $5,136.49 / $14,315.61	Facility		$1,651.82	$5,136.49	$14,315.61
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 Facility Modifier Low / Median / High Price $74,999.25 / $74,999.25 / $74,999.25	Facility		$74,999.25	$74,999.25	$74,999.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,186.00 / $7,258.00 / $10,047.00	Facility		$4,186.00	$7,258.00	$10,047.00
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 $1,738.00 / $7,794.00 / $14,048.00	Facility		$1,738.00	$7,794.00	$14,048.00