Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,828.72 / $1,861.13 / $6,600.00	Facility		$1,828.72	$1,861.13	$6,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,828.72 / $1,847.00 / $2,251.96	Professional		$1,828.72	$1,847.00	$2,251.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,828.71 / $2,977.14 / $6,711.37	Facility		$1,828.71	$2,977.14	$6,711.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,828.72 / $1,828.72 / $1,865.29	Professional		$1,828.72	$1,828.72	$1,865.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,828.72 / $1,828.72 / $3,584.29	Facility		$1,828.72	$1,828.72	$3,584.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,725.20 / $1,725.20 / $1,828.71	Facility		$1,725.20	$1,725.20	$1,828.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,828.71 / $1,828.71 / $1,828.71	Professional		$1,828.71	$1,828.71	$1,828.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,957.60 / $6,449.00 / $9,990.00	Professional		$1,957.60	$6,449.00	$9,990.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,828.72 / $1,828.72 / $2,797.94	Professional		$1,828.72	$1,828.72	$2,797.94