Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,436.31 / $1,436.31 / $3,411.82	Facility		$1,436.31	$1,436.31	$3,411.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,417.14 / $1,814.28 / $2,402.69	Professional		$1,417.14	$1,814.28	$2,402.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,024.50 / $4,234.30 / $11,099.92	Facility		$3,024.50	$4,234.30	$11,099.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,612.45 / $2,514.81 / $4,828.43	Professional		$1,612.45	$2,514.81	$4,828.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,501.19 / $2,737.43 / $5,595.33	Facility		$2,501.19	$2,737.43	$5,595.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,570.83 / $2,570.83 / $2,570.83	Professional		$2,570.83	$2,570.83	$2,570.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,815.81 / $1,815.81 / $1,815.81	Facility		$1,815.81	$1,815.81	$1,815.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,325.54 / $1,815.81 / $3,733.50	Professional		$1,325.54	$1,815.81	$3,733.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,298.62 / $3,024.50 / $4,271.51	Professional		$2,298.62	$3,024.50	$4,271.51
United Facility/Professional Professional Modifier Low / Median / High Price $1,005.92 / $1,508.89 / $2,514.81	Professional		$1,005.92	$1,508.89	$2,514.81