Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $3,981.07 / $6,165.95	Facility		$1,479.11	$3,981.07	$6,165.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,698.24 / $2,137.96	Professional		$1,479.11	$1,698.24	$2,137.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,818.38 / $3,235.94	Facility		$1,659.59	$2,818.38	$3,235.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,238.72 / $2,238.72	Professional		$1,548.82	$2,238.72	$2,238.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $4,168.69 / $4,168.69	Facility		$4,168.69	$4,168.69	$4,168.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $4,897.79 / $6,760.83	Facility		$3,467.37	$4,897.79	$6,760.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,691.53 / $3,388.44	Professional		$2,570.40	$2,691.53	$3,388.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,570.40 / $2,884.03	Professional		$2,454.71	$2,570.40	$2,884.03
United Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,995.26 / $2,238.72	Facility		$1,230.27	$1,995.26	$2,238.72
United Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,318.26 / $3,235.94	Professional		$933.25	$1,318.26	$3,235.94