Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,672.47 / $4,686.85 / $6,868.53	Facility		$4,672.47	$4,686.85	$6,868.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,672.47 / $4,686.85 / $5,653.69	Professional		$4,672.47	$4,686.85	$5,653.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,686.85 / $7,630.19 / $17,200.74	Facility		$4,686.85	$7,630.19	$17,200.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,749.48 / $4,686.85 / $4,686.85	Professional		$3,749.48	$4,686.85	$4,686.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,686.85 / $4,686.85 / $9,186.23	Facility		$4,686.85	$4,686.85	$9,186.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,421.56 / $4,421.56 / $4,686.85	Facility		$4,421.56	$4,421.56	$4,686.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,686.85 / $4,686.85 / $4,686.85	Professional		$4,686.85	$4,686.85	$4,686.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,463.80 / $2,463.80 / $5,123.34	Professional		$2,463.80	$2,463.80	$5,123.34
United Facility/Professional Professional Modifier Low / Median / High Price $4,686.85 / $4,686.85 / $6,474.39	Professional		$4,686.85	$4,686.85	$6,474.39