Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,808.65 / $1,809.44 / $2,659.88	Facility		$1,808.65	$1,809.44	$2,659.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,808.65 / $1,809.44 / $2,189.42	Professional		$1,808.65	$1,809.44	$2,189.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,808.64 / $2,944.47 / $6,637.71	Facility		$1,808.64	$2,944.47	$6,637.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,446.92 / $2,002.81 / $2,002.81	Professional		$1,446.92	$2,002.81	$2,002.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,808.65 / $1,808.65 / $3,544.95	Facility		$1,808.65	$1,808.65	$3,544.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,706.27 / $1,706.27 / $1,808.65	Facility		$1,706.27	$1,706.27	$1,808.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,808.65 / $1,808.65 / $1,808.65	Professional		$1,808.65	$1,808.65	$1,808.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,129.15 / $1,444.46 / $1,995.52	Professional		$1,129.15	$1,444.46	$1,995.52
United Facility/Professional Professional Modifier Low / Median / High Price $1,808.65 / $1,808.65 / $2,108.21	Professional		$1,808.65	$1,808.65	$2,108.21