Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,499.48 / $5,045.00 / $6,915.00	Facility		$2,499.48	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,168.36 / $2,741.41 / $5,523.65	Professional		$2,168.36	$2,741.41	$5,523.65
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 $2,380.86 / $3,638.75 / $7,148.28	Professional		$2,380.86	$3,638.75	$7,148.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,544.97 / $4,938.84 / $7,584.65	Facility		$4,544.97	$4,938.84	$7,584.65
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 $2,795.78 / $4,059.49 / $7,304.81	Professional		$2,795.78	$4,059.49	$7,304.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,380.86 / $3,333.20 / $5,296.55	Professional		$2,380.86	$3,333.20	$5,296.55
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 $2,526.92 / $3,465.44 / $6,367.08	Professional		$2,526.92	$3,465.44	$6,367.08