Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,360.21 / $5,045.00 / $6,915.00	Facility		$2,360.21	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,017.54 / $2,602.81 / $4,746.56	Professional		$2,017.54	$2,602.81	$4,746.56
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 $2,192.00 / $3,307.06 / $6,354.30	Professional		$2,192.00	$3,307.06	$6,354.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,237.97 / $3,237.97 / $3,237.97	Facility		$3,237.97	$3,237.97	$3,237.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $2,500.00 / $2,651.88	Facility		$500.00	$2,500.00	$2,651.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,320.33 / $3,478.50 / $6,229.96	Professional		$2,320.33	$3,478.50	$6,229.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,693.40 / $3,747.34 / $6,773.25	Professional		$2,693.40	$3,747.34	$6,773.25
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 $1,930.65 / $2,992.13 / $5,780.46	Professional		$1,930.65	$2,992.13	$5,780.46