Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,864.79 / $4,375.77 / $4,375.77	Facility		$3,864.79	$4,375.77	$4,375.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,680.12 / $4,269.84 / $13,248.00	Professional		$3,680.12	$4,269.84	$13,248.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14,592.00 / $16,960.00 / $18,240.00	Professional		$14,592.00	$16,960.00	$18,240.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,497.26 / $3,497.26 / $3,497.26	Facility		$3,497.26	$3,497.26	$3,497.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16,320.00 / $16,960.00 / $16,960.00	Facility		$16,320.00	$16,960.00	$16,960.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16,320.00 / $16,960.00 / $16,960.00	Professional		$16,320.00	$16,960.00	$16,960.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,564.22 / $20,980.36 / $20,980.36	Professional		$4,564.22	$20,980.36	$20,980.36
United Facility/Professional Professional Modifier Low / Median / High Price $7,680.00 / $19,200.00 / $19,200.00	Professional		$7,680.00	$19,200.00	$19,200.00