Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,397.04 / $5,045.00 / $6,915.00	Facility		$2,397.04	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,078.51 / $2,642.10 / $4,816.67	Professional		$2,078.51	$2,642.10	$4,816.67
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 $2,219.94 / $3,358.04 / $6,452.24	Professional		$2,219.94	$3,358.04	$6,452.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,416.33 / $3,416.33 / $3,416.33	Facility		$3,416.33	$3,416.33	$3,416.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $2,500.00 / $2,692.04	Facility		$500.00	$2,500.00	$2,692.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,370.28 / $3,649.07 / $6,328.21	Professional		$2,370.28	$3,649.07	$6,328.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,735.88 / $3,806.45 / $6,880.06	Professional		$2,735.88	$3,806.45	$6,880.06
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 $2,052.37 / $3,109.16 / $5,532.20	Professional		$2,052.37	$3,109.16	$5,532.20