Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,826.00 / $1,826.00 / $1,826.00	Facility		$1,826.00	$1,826.00	$1,826.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,760.00 / $1,826.00 / $1,870.00	Professional		$1,760.00	$1,826.00	$1,870.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,760.00 / $2,228.94 / $2,438.34	Professional		$1,760.00	$2,228.94	$2,438.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,870.00 / $1,925.00 / $1,925.00	Facility		$1,870.00	$1,925.00	$1,925.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,870.00 / $1,870.00 / $1,870.00	Facility		$1,870.00	$1,870.00	$1,870.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,870.00 / $1,870.00 / $1,870.00	Professional		$1,870.00	$1,870.00	$1,870.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,870.00 / $1,870.00 / $3,570.00	Professional		$1,870.00	$1,870.00	$3,570.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,200.00 / $2,200.00 / $2,928.42	Professional		$2,200.00	$2,200.00	$2,928.42