Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,223.03 / $5,045.00 / $6,915.00	Facility		$2,223.03	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,903.28 / $2,448.57 / $4,461.70	Professional		$1,903.28	$2,448.57	$4,461.70
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 $2,060.00 / $3,117.91 / $5,990.81	Professional		$2,060.00	$3,117.91	$5,990.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,104.10 / $3,104.10 / $3,104.10	Facility		$3,104.10	$3,104.10	$3,104.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $2,498.52 / $2,500.00	Facility		$500.00	$2,498.52	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,174.06 / $3,334.69 / $5,875.05	Professional		$2,174.06	$3,334.69	$5,875.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,539.96 / $3,533.87 / $6,387.36	Professional		$2,539.96	$3,533.87	$6,387.36
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 $1,893.61 / $2,843.41 / $5,136.04	Professional		$1,893.61	$2,843.41	$5,136.04