Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,453.38 / $5,063.00 / $6,915.00	Facility		$2,453.38	$5,063.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,139.15 / $2,704.76 / $5,410.28	Professional		$2,139.15	$2,704.76	$5,410.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,325.76 / $8,967.21 / $21,657.35	Facility		$2,325.76	$8,967.21	$21,657.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,362.09 / $3,482.09 / $6,935.05	Professional		$2,362.09	$3,482.09	$6,935.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,650.08 / $5,083.04 / $7,806.08	Facility		$4,650.08	$5,083.04	$7,806.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $550.00 / $550.00	Facility		$550.00	$550.00	$550.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,571.89 / $4,090.16 / $7,316.30	Professional		$2,571.89	$4,090.16	$7,316.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,435.91 / $3,410.27 / $6,288.39	Professional		$2,435.91	$3,410.27	$6,288.39
United Facility/Professional Facility Modifier Low / Median / High Price $607.00 / $3,629.00 / $10,000.00	Facility		$607.00	$3,629.00	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,468.94 / $3,438.25 / $6,343.12	Professional		$2,468.94	$3,438.25	$6,343.12