Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,408.38 / $6,454.57 / $9,488.21	Facility		$6,408.38	$6,454.57	$9,488.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6,408.38 / $6,454.57 / $7,810.03	Professional		$6,408.38	$6,454.57	$7,810.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,408.38 / $10,432.84 / $23,518.75	Facility		$6,408.38	$10,432.84	$23,518.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,126.70 / $6,408.38 / $6,408.38	Professional		$5,126.70	$6,408.38	$6,408.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6,408.38 / $6,408.38 / $12,560.42	Facility		$6,408.38	$6,408.38	$12,560.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,045.64 / $6,045.64 / $6,408.38	Facility		$6,045.64	$6,045.64	$6,408.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,408.38 / $6,408.38 / $6,408.38	Professional		$6,408.38	$6,408.38	$6,408.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $105.69 / $105.69 / $6,692.51	Professional		$105.69	$105.69	$6,692.51
United Facility/Professional Professional Modifier Low / Median / High Price $6,408.38 / $6,408.38 / $7,165.39	Professional		$6,408.38	$6,408.38	$7,165.39