Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,549.76 / $5,045.00 / $6,915.00	Facility		$2,549.76	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,173.30 / $2,811.91 / $5,129.53	Professional		$2,173.30	$2,811.91	$5,129.53
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 $2,351.00 / $3,572.39 / $6,705.62	Professional		$2,351.00	$3,572.39	$6,705.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,555.41 / $3,555.41 / $3,555.41	Facility		$3,555.41	$3,555.41	$3,555.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $2,500.00 / $2,864.64	Facility		$500.00	$2,500.00	$2,864.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,440.80 / $3,796.04 / $6,729.34	Professional		$2,440.80	$3,796.04	$6,729.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,909.30 / $4,045.00 / $7,316.15	Professional		$2,909.30	$4,045.00	$7,316.15
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 $2,140.67 / $3,283.98 / $5,882.87	Professional		$2,140.67	$3,283.98	$5,882.87