Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,854.52 / $3,854.52 / $6,922.40	Facility		$3,854.52	$3,854.52	$6,922.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,808.08 / $3,854.52 / $5,448.96	Professional		$3,808.08	$3,854.52	$5,448.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,914.61 / $3,870.00 / $7,026.62	Facility		$1,914.61	$3,870.00	$7,026.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,870.00 / $5,801.13 / $6,123.42	Professional		$3,870.00	$5,801.13	$6,123.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,947.40 / $4,063.50 / $7,924.06	Facility		$3,947.40	$4,063.50	$7,924.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,947.40 / $3,947.40 / $3,947.40	Facility		$3,947.40	$3,947.40	$3,947.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,947.40 / $3,947.40 / $3,947.40	Professional		$3,947.40	$3,947.40	$3,947.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $7,188.73 / $7,656.00 / $11,861.00	Professional		$7,188.73	$7,656.00	$11,861.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,870.00 / $3,870.00 / $4,897.10	Professional		$3,870.00	$3,870.00	$4,897.10