Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,968.58 / $5,168.22 / $7,303.81	Facility		$4,968.58	$5,168.22	$7,303.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,968.58 / $5,168.22 / $6,011.98	Professional		$4,968.58	$5,168.22	$6,011.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,168.22 / $8,413.87 / $18,967.40	Facility		$5,168.22	$8,413.87	$18,967.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,134.58 / $5,168.22 / $5,168.22	Professional		$4,134.58	$5,168.22	$5,168.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5,168.22 / $5,168.22 / $10,129.73	Facility		$5,168.22	$5,168.22	$10,129.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,875.68 / $4,875.68 / $5,168.22	Facility		$4,875.68	$4,875.68	$5,168.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,168.22 / $5,168.22 / $5,168.22	Professional		$5,168.22	$5,168.22	$5,168.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $655.64 / $655.64 / $5,576.98	Professional		$655.64	$655.64	$5,576.98
United Facility/Professional Facility Modifier Low / Median / High Price $5,266.69 / $13,663.60 / $13,663.60	Facility		$5,266.69	$13,663.60	$13,663.60
United Facility/Professional Professional Modifier Low / Median / High Price $5,168.22 / $5,168.22 / $5,478.32	Professional		$5,168.22	$5,168.22	$5,478.32