Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $4,365.16	Facility		$1,659.59	$1,659.59	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,995.26 / $3,162.28	Professional		$1,621.81	$1,995.26	$3,162.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $8,511.38 / $13,182.57	Facility		$3,630.78	$8,511.38	$13,182.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,951.21 / $4,786.30	Professional		$1,905.46	$2,951.21	$4,786.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,019.95	Facility		$3,019.95	$3,019.95	$3,019.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,019.95	Professional		$3,019.95	$3,019.95	$3,019.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $6,309.57	Facility		$2,511.89	$2,511.89	$6,309.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $4,265.80	Professional		$1,819.70	$1,819.70	$4,265.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $3,630.78 / $5,248.07	Professional		$2,511.89	$3,630.78	$5,248.07
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,737.80 / $2,754.23	Facility		$1,096.48	$1,737.80	$2,754.23
United Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,778.28 / $3,467.37	Professional		$1,174.90	$1,778.28	$3,467.37