Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,963.49 / $5,045.00 / $6,915.00	Facility		$2,963.49	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,459.80 / $3,219.38 / $5,687.16	Professional		$2,459.80	$3,219.38	$5,687.16
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 $2,622.46 / $3,763.20 / $7,436.87	Professional		$2,622.46	$3,763.20	$7,436.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5,037.09 / $5,431.17 / $8,340.71	Facility		$5,037.09	$5,431.17	$8,340.71
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 $3,007.79 / $4,436.72 / $8,089.77	Professional		$3,007.79	$4,436.72	$8,089.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,638.65 / $3,694.11 / $5,056.68	Professional		$2,638.65	$3,694.11	$5,056.68
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 $2,679.45 / $3,594.27 / $6,954.03	Professional		$2,679.45	$3,594.27	$6,954.03