Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,505.23 / $5,045.00 / $6,915.00	Facility		$2,505.23	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,010.18 / $2,762.38 / $4,531.22	Professional		$2,010.18	$2,762.38	$4,531.22
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 $2,238.34 / $3,510.16 / $6,588.80	Professional		$2,238.34	$3,510.16	$6,588.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,640.53 / $3,640.53 / $3,640.53	Facility		$3,640.53	$3,640.53	$3,640.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $2,500.00 / $2,814.58	Facility		$500.00	$2,500.00	$2,814.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,371.11 / $3,625.84 / $6,615.57	Professional		$2,371.11	$3,625.84	$6,615.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,860.11 / $3,979.28 / $7,192.48	Professional		$2,860.11	$3,979.28	$7,192.48
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 $2,122.90 / $3,216.71 / $5,988.21	Professional		$2,122.90	$3,216.71	$5,988.21