Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,250.64 / $5,045.00 / $6,915.00	Facility		$2,250.64	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,922.95 / $2,479.25 / $4,415.89	Professional		$1,922.95	$2,479.25	$4,415.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,361.69 / $8,967.21 / $21,657.35	Facility		$2,361.69	$8,967.21	$21,657.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,037.30 / $3,155.61 / $5,923.29	Professional		$2,037.30	$3,155.61	$5,923.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,111.20 / $3,111.20 / $3,111.20	Facility		$3,111.20	$3,111.20	$3,111.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $2,500.00 / $2,528.87	Facility		$500.00	$2,500.00	$2,528.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,146.83 / $3,336.65 / $5,750.13	Professional		$2,146.83	$3,336.65	$5,750.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,459.71 / $3,422.21 / $6,185.55	Professional		$2,459.71	$3,422.21	$6,185.55
United Facility/Professional Facility Modifier Low / Median / High Price $625.00 / $3,587.00 / $9,079.00	Facility		$625.00	$3,587.00	$9,079.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,904.15 / $2,862.16 / $5,055.67	Professional		$1,904.15	$2,862.16	$5,055.67