Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,453.51 / $5,045.00 / $6,915.00	Facility		$2,453.51	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,120.23 / $2,706.28 / $4,423.50	Professional		$2,120.23	$2,706.28	$4,423.50
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 $2,204.80 / $3,436.88 / $6,603.74	Professional		$2,204.80	$3,436.88	$6,603.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,348.15 / $3,348.15 / $3,348.15	Facility		$3,348.15	$3,348.15	$3,348.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $2,500.00 / $2,756.33	Facility		$500.00	$2,500.00	$2,756.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,341.48 / $3,601.75 / $6,476.31	Professional		$2,341.48	$3,601.75	$6,476.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,799.91 / $3,842.00 / $7,041.09	Professional		$2,799.91	$3,842.00	$7,041.09
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 $2,076.79 / $3,048.77 / $5,661.65	Professional		$2,076.79	$3,048.77	$5,661.65