Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,238.58 / $1,238.58 / $2,942.17	Facility		$1,238.58	$1,238.58	$2,942.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,109.16 / $1,366.26 / $1,740.96	Professional		$1,109.16	$1,366.26	$1,740.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,608.15 / $3,651.41 / $9,571.91	Facility		$2,608.15	$3,651.41	$9,571.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,372.04 / $2,168.63 / $4,163.77	Professional		$1,372.04	$2,168.63	$4,163.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,957.62 / $2,216.92 / $4,825.08	Facility		$1,957.62	$2,216.92	$4,825.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,216.92 / $2,216.92 / $2,216.92	Professional		$2,216.92	$2,216.92	$2,216.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,703.99 / $1,703.99 / $1,703.99	Facility		$1,703.99	$1,703.99	$1,703.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,243.91 / $1,518.28 / $2,780.63	Professional		$1,243.91	$1,518.28	$2,780.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,982.19 / $2,608.15 / $3,623.53	Professional		$1,982.19	$2,608.15	$3,623.53
United Facility/Professional Facility Modifier Low / Median / High Price $1,520.62 / $1,520.62 / $1,520.62	Facility		$1,520.62	$1,520.62	$1,520.62
United Facility/Professional Professional Modifier Low / Median / High Price $867.45 / $1,301.18 / $2,146.71	Professional		$867.45	$1,301.18	$2,146.71