Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,326.37 / $2,326.37 / $2,326.37	Facility		$2,326.37	$2,326.37	$2,326.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,326.37 / $2,326.37 / $2,736.91	Professional		$2,326.37	$2,326.37	$2,736.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $110.41 / $405.20 / $2,658.23	Facility		$110.41	$405.20	$2,658.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $778.05 / $2,280.76 / $2,600.06	Professional		$778.05	$2,280.76	$2,600.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,326.37 / $2,394.80 / $4,693.80	Facility		$2,326.37	$2,394.80	$4,693.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,554.44 / $2,554.44 / $2,554.44	Facility		$2,554.44	$2,554.44	$2,554.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,554.44 / $2,554.44 / $2,554.44	Professional		$2,554.44	$2,554.44	$2,554.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $39.46 / $108.01 / $160.63	Professional		$39.46	$108.01	$160.63
United Facility/Professional Professional Modifier Low / Median / High Price $2,349.17 / $2,736.91 / $2,936.48	Professional		$2,349.17	$2,736.91	$2,936.48