Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,651.66 / $3,651.66 / $3,651.66	Facility		$3,651.66	$3,651.66	$3,651.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,519.67 / $3,651.66 / $3,651.66	Professional		$3,519.67	$3,651.66	$3,651.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $683.80 / $1,623.48 / $3,666.33	Facility		$683.80	$1,623.48	$3,666.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,666.33 / $3,959.63 / $4,179.60	Professional		$3,666.33	$3,959.63	$4,179.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,739.65 / $3,849.64 / $7,507.02	Facility		$3,739.65	$3,849.64	$7,507.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,739.65 / $3,739.65 / $3,739.65	Facility		$3,739.65	$3,739.65	$3,739.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,739.65 / $3,739.65 / $3,739.65	Professional		$3,739.65	$3,739.65	$3,739.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $376.32 / $3,739.65 / $7,479.30	Professional		$376.32	$3,739.65	$7,479.30
United Facility/Professional Professional Modifier Low / Median / High Price $3,666.33 / $3,666.33 / $4,399.59	Professional		$3,666.33	$3,666.33	$4,399.59