Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,908.26 / $1,908.26 / $1,908.26	Facility		$1,908.26	$1,908.26	$1,908.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,908.26 / $1,908.26 / $2,501.75	Professional		$1,908.26	$1,908.26	$2,501.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,556.30 / $4,183.89 / $4,183.89	Professional		$3,556.30	$4,183.89	$4,183.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $638.01 / $638.01 / $6,380.10	Facility		$638.01	$638.01	$6,380.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,300.60 / $4,300.60 / $4,300.60	Facility		$4,300.60	$4,300.60	$4,300.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,300.60 / $4,300.60 / $4,300.60	Professional		$4,300.60	$4,300.60	$4,300.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $35,159.00 / $35,159.00 / $35,159.00	Professional		$35,159.00	$35,159.00	$35,159.00