Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,096.56 / $2,096.56 / $2,096.56	Facility		$2,096.56	$2,096.56	$2,096.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,020.78 / $2,096.56 / $2,222.35	Professional		$2,020.78	$2,096.56	$2,222.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $772.64 / $1,834.40 / $2,835.59	Facility		$772.64	$1,834.40	$2,835.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,104.98 / $2,273.38 / $2,399.67	Professional		$2,104.98	$2,273.38	$2,399.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,147.08 / $2,210.23 / $4,310.08	Facility		$2,147.08	$2,210.23	$4,310.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,147.08 / $2,147.08 / $2,147.08	Facility		$2,147.08	$2,147.08	$2,147.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,147.08 / $2,147.08 / $2,147.08	Professional		$2,147.08	$2,147.08	$2,147.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $735.25 / $1,260.92 / $2,361.79	Professional		$735.25	$1,260.92	$2,361.79
United Facility/Professional Professional Modifier Low / Median / High Price $2,104.98 / $2,104.98 / $2,525.98	Professional		$2,104.98	$2,104.98	$2,525.98