Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $830.90 / $5,087.97 / $6,584.33	Facility		$830.90	$5,087.97	$6,584.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,904.07 / $5,087.97 / $5,087.97	Professional		$4,904.07	$5,087.97	$5,087.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,074.81 / $4,926.01 / $7,614.55	Facility		$2,074.81	$4,926.01	$7,614.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,086.72 / $5,517.08 / $5,823.59	Professional		$4,086.72	$5,517.08	$5,823.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5,210.58 / $5,363.83 / $10,459.77	Facility		$5,210.58	$5,363.83	$10,459.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,210.58 / $5,210.58 / $5,210.58	Facility		$5,210.58	$5,210.58	$5,210.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,210.58 / $5,210.58 / $5,210.58	Professional		$5,210.58	$5,210.58	$5,210.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5,210.58 / $10,421.16 / $18,432.00	Professional		$5,210.58	$10,421.16	$18,432.00
United Facility/Professional Professional Modifier Low / Median / High Price $5,108.41 / $5,108.41 / $6,130.09	Professional		$5,108.41	$5,108.41	$6,130.09