Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,980.00 / $4,980.00 / $4,980.00	Facility		$4,980.00	$4,980.00	$4,980.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,800.00 / $4,980.00 / $4,980.00	Professional		$4,800.00	$4,980.00	$4,980.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,062.94 / $4,897.83 / $7,570.99	Facility		$2,062.94	$4,897.83	$7,570.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,000.00 / $5,400.00 / $5,700.00	Professional		$5,000.00	$5,400.00	$5,700.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5,100.00 / $5,250.00 / $7,350.00	Facility		$5,100.00	$5,250.00	$7,350.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,578.67 / $5,100.00 / $5,100.00	Facility		$2,578.67	$5,100.00	$5,100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,100.00 / $5,100.00 / $5,100.00	Professional		$5,100.00	$5,100.00	$5,100.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5,100.00 / $5,100.00 / $8,692.00	Professional		$5,100.00	$5,100.00	$8,692.00
United Facility/Professional Professional Modifier Low / Median / High Price $5,000.00 / $5,000.00 / $6,655.50	Professional		$5,000.00	$5,000.00	$6,655.50