Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,976.55 / $2,016.42 / $4,950.99	Facility		$1,976.55	$2,016.42	$4,950.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,976.55 / $2,016.42 / $2,391.63	Professional		$1,976.55	$2,016.42	$2,391.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,016.42 / $3,282.73 / $7,400.26	Facility		$2,016.42	$3,282.73	$7,400.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,016.42 / $2,016.42 / $2,016.42	Professional		$2,016.42	$2,016.42	$2,016.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,016.42 / $2,016.42 / $3,952.18	Facility		$2,016.42	$2,016.42	$3,952.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,902.29 / $1,902.29 / $2,016.42	Facility		$1,902.29	$1,902.29	$2,016.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,016.42 / $2,016.42 / $2,016.42	Professional		$2,016.42	$2,016.42	$2,016.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,931.81 / $2,440.00 / $3,781.00	Professional		$1,931.81	$2,440.00	$3,781.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,016.42 / $2,016.42 / $2,679.28	Professional		$2,016.42	$2,016.42	$2,679.28