Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,475.72 / $1,475.72 / $3,941.84	Facility		$1,475.72	$1,475.72	$3,941.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,176.14 / $1,730.92 / $2,063.79	Professional		$1,176.14	$1,730.92	$2,063.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,549.20 / $2,409.80 / $3,253.32	Facility		$1,549.20	$2,409.80	$3,253.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,161.90 / $1,549.20 / $2,219.13	Professional		$1,161.90	$1,549.20	$2,219.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,219.13 / $3,106.78 / $4,200.00	Facility		$2,219.13	$3,106.78	$4,200.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,490.69 / $4,882.09 / $6,158.82	Facility		$3,490.69	$4,882.09	$6,158.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,549.86 / $2,704.74 / $3,380.93	Professional		$2,549.86	$2,704.74	$3,380.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,441.04 / $2,552.00 / $2,884.87	Professional		$2,441.04	$2,552.00	$2,884.87
United Facility/Professional Professional Modifier Low / Median / High Price $932.03 / $1,331.48 / $2,263.73	Professional		$932.03	$1,331.48	$2,263.73