Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,214.28 / $1,214.28 / $3,101.54	Facility		$1,214.28	$1,214.28	$3,101.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,170.39 / $1,214.28 / $1,214.28	Professional		$1,170.39	$1,214.28	$1,214.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,280.25 / $2,084.25 / $4,698.52	Facility		$1,280.25	$2,084.25	$4,698.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,219.16 / $1,389.84 / $1,390.95	Professional		$1,219.16	$1,389.84	$1,390.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,243.54 / $1,280.11 / $2,509.03	Facility		$1,243.54	$1,280.11	$2,509.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,183.65 / $1,243.54 / $1,243.54	Facility		$1,183.65	$1,243.54	$1,243.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,243.54 / $1,243.54 / $1,243.54	Professional		$1,243.54	$1,243.54	$1,243.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,083.75 / $1,207.32 / $2,560.00	Professional		$1,083.75	$1,207.32	$2,560.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,219.16 / $1,219.16 / $1,346.15	Professional		$1,219.16	$1,219.16	$1,346.15