Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $6,606.93 / $19,054.61	Facility		$1,778.28	$6,606.93	$19,054.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $3,467.37	Professional		$1,778.28	$1,778.28	$3,467.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,884.03 / $9,772.37	Facility		$1,778.28	$2,884.03	$9,772.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $1,778.28 / $1,778.28	Professional		$588.84	$1,778.28	$1,778.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,737.80	Facility		$1,737.80	$1,737.80	$1,737.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,778.28	Facility		$1,659.59	$1,659.59	$1,778.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $1,778.28	Professional		$1,778.28	$1,778.28	$1,778.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $776.25 / $1,949.84	Professional		$776.25	$776.25	$1,949.84
United Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $3,235.94 / $4,570.88	Facility		$1,659.59	$3,235.94	$4,570.88
United Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $1,862.09 / $2,238.72	Professional		$1,778.28	$1,862.09	$2,238.72