Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,193.12 / $4,193.12 / $4,193.12	Facility		$4,193.12	$4,193.12	$4,193.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,041.56 / $4,193.12 / $4,193.12	Professional		$4,041.56	$4,193.12	$4,193.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,209.96 / $4,567.81 / $4,567.81	Facility		$4,209.96	$4,567.81	$4,567.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,209.96 / $4,546.76 / $4,799.35	Professional		$4,209.96	$4,546.76	$4,799.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,294.16 / $4,420.46 / $8,620.14	Facility		$4,294.16	$4,420.46	$8,620.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,294.16 / $4,294.16 / $4,294.16	Facility		$4,294.16	$4,294.16	$4,294.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,294.16 / $4,294.16 / $4,294.16	Professional		$4,294.16	$4,294.16	$4,294.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,608.41 / $4,294.16 / $8,588.32	Professional		$3,608.41	$4,294.16	$8,588.32
United Facility/Professional Professional Modifier Low / Median / High Price $4,209.96 / $4,209.96 / $5,051.95	Professional		$4,209.96	$4,209.96	$5,051.95