Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,008.95 / $3,008.95 / $3,008.95	Facility		$3,008.95	$3,008.95	$3,008.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,900.19 / $3,008.95 / $3,008.95	Professional		$2,900.19	$3,008.95	$3,008.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,301.91 / $3,747.51 / $8,448.01	Facility		$2,301.91	$3,747.51	$8,448.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,021.04 / $3,443.98 / $4,369.08	Professional		$3,021.04	$3,443.98	$4,369.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,081.45 / $3,172.09 / $6,217.29	Facility		$3,081.45	$3,172.09	$6,217.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,081.45 / $3,081.45 / $3,081.45	Facility		$3,081.45	$3,081.45	$3,081.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,081.45 / $3,081.45 / $3,081.45	Professional		$3,081.45	$3,081.45	$3,081.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,535.12 / $2,966.22 / $3,081.45	Professional		$2,535.12	$2,966.22	$3,081.45
United Facility/Professional Professional Modifier Low / Median / High Price $3,021.04 / $3,021.04 / $3,333.05	Professional		$3,021.04	$3,021.04	$3,333.05