Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,352.00 / $1,352.00 / $3,211.57	Facility		$1,352.00	$1,352.00	$3,211.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,155.81 / $1,413.15 / $1,897.54	Professional		$1,155.81	$1,413.15	$1,897.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,846.96 / $3,985.74 / $10,448.34	Facility		$2,846.96	$3,985.74	$10,448.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,430.82 / $2,367.19 / $4,545.02	Professional		$1,430.82	$2,367.19	$4,545.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,999.96 / $2,419.92 / $5,266.88	Facility		$1,999.96	$2,419.92	$5,266.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,419.92 / $2,419.92 / $2,419.92	Professional		$2,419.92	$2,419.92	$2,419.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,549.06 / $1,549.06 / $1,549.06	Facility		$1,549.06	$1,549.06	$1,549.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,130.81 / $1,549.06 / $3,056.63	Professional		$1,130.81	$1,549.06	$3,056.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,163.69 / $2,846.96 / $3,955.12	Professional		$2,163.69	$2,846.96	$3,955.12
United Facility/Professional Professional Modifier Low / Median / High Price $946.88 / $1,396.27 / $2,367.19	Professional		$946.88	$1,396.27	$2,367.19