Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $3,715.35	Facility		$1,445.44	$1,445.44	$3,715.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,659.59 / $2,691.53	Professional		$1,348.96	$1,659.59	$2,691.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $7,244.36 / $11,220.18	Facility		$3,090.30	$7,244.36	$11,220.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,511.89 / $3,981.07	Professional		$1,621.81	$2,511.89	$3,981.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $2,570.40	Facility		$2,570.40	$2,570.40	$2,570.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $2,570.40	Professional		$2,570.40	$2,570.40	$2,570.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $5,128.61	Facility		$1,819.70	$1,819.70	$5,128.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $3,715.35	Professional		$1,318.26	$1,318.26	$3,715.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $3,090.30 / $4,265.80	Professional		$2,137.96	$3,090.30	$4,265.80
United Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,445.44 / $2,137.96	Facility		$912.01	$1,445.44	$2,137.96
United Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,513.56 / $2,951.21	Professional		$1,000.00	$1,513.56	$2,951.21