Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,113.23 / $4,874.25 / $9,179.51	Facility		$2,113.23	$4,874.25	$9,179.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,116.32 / $2,137.48 / $2,557.02	Professional		$2,116.32	$2,137.48	$2,557.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,116.32 / $3,445.37 / $7,766.89	Facility		$2,116.32	$3,445.37	$7,766.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,693.05 / $2,116.32 / $2,116.32	Professional		$1,693.05	$2,116.32	$2,116.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,116.32 / $2,116.32 / $4,147.99	Facility		$2,116.32	$2,116.32	$4,147.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,996.53 / $1,996.53 / $2,116.32	Facility		$1,996.53	$1,996.53	$2,116.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,116.32 / $2,116.32 / $2,116.32	Professional		$2,116.32	$2,116.32	$2,116.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,249.13 / $1,249.13 / $2,274.69	Professional		$1,249.13	$1,249.13	$2,274.69
United Facility/Professional Professional Modifier Low / Median / High Price $2,116.32 / $2,116.32 / $2,558.80	Professional		$2,116.32	$2,116.32	$2,558.80