Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,161.91 / $1,161.91 / $2,760.01	Facility		$1,161.91	$1,161.91	$2,760.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,161.91 / $1,467.68 / $2,052.89	Professional		$1,161.91	$1,467.68	$2,052.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,446.67 / $3,425.35 / $8,979.32	Facility		$2,446.67	$3,425.35	$8,979.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,304.41 / $2,034.37 / $3,905.99	Professional		$1,304.41	$2,034.37	$3,905.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,079.67 / $2,244.98 / $4,526.35	Facility		$2,079.67	$2,244.98	$4,526.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,079.67 / $2,079.67 / $2,079.67	Professional		$2,079.67	$2,079.67	$2,079.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,638.80 / $1,638.80 / $1,638.80	Facility		$1,638.80	$1,638.80	$1,638.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,196.32 / $1,196.32 / $3,251.82	Professional		$1,196.32	$1,196.32	$3,251.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,859.48 / $2,446.67 / $3,577.35	Professional		$1,859.48	$2,446.67	$3,577.35
United Facility/Professional Facility Modifier Low / Median / High Price $763.17 / $1,102.34 / $1,376.73	Facility		$763.17	$1,102.34	$1,376.73
United Facility/Professional Professional Modifier Low / Median / High Price $813.75 / $1,220.61 / $2,013.81	Professional		$813.75	$1,220.61	$2,013.81