Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,988.99 / $2,988.99 / $4,319.76	Facility		$2,988.99	$2,988.99	$4,319.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,988.99 / $3,049.99 / $3,484.42	Professional		$2,988.99	$3,049.99	$3,484.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,660.81 / $5,857.30 / $13,435.17	Facility		$3,660.81	$5,857.30	$13,435.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $274.29 / $1,868.90 / $5,032.47	Professional		$274.29	$1,868.90	$5,032.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $449.11 / $1,135.83 / $5,857.30	Facility		$449.11	$1,135.83	$5,857.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,275.00 / $1,275.00 / $1,275.00	Professional		$1,275.00	$1,275.00	$1,275.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $98.34 / $3,038.47 / $4,026.89	Professional		$98.34	$3,038.47	$4,026.89
United Facility/Professional Professional Modifier Low / Median / High Price $1,862.87 / $3,699.27 / $5,404.09	Professional		$1,862.87	$3,699.27	$5,404.09