Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,086.19 / $1,086.19 / $2,580.15	Facility		$1,086.19	$1,086.19	$2,580.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,086.19 / $1,373.73 / $1,848.70	Professional		$1,086.19	$1,373.73	$1,848.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,287.23 / $3,202.12 / $8,394.12	Facility		$2,287.23	$3,202.12	$8,394.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,219.40 / $1,901.79 / $3,651.44	Professional		$1,219.40	$1,901.79	$3,651.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,944.15 / $2,076.69 / $4,231.38	Facility		$1,944.15	$2,076.69	$4,231.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,944.15 / $1,944.15 / $1,944.15	Professional		$1,944.15	$1,944.15	$1,944.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,499.97 / $1,499.97 / $1,499.97	Facility		$1,499.97	$1,499.97	$1,499.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,094.98 / $1,499.97 / $2,832.38	Professional		$1,094.98	$1,499.97	$2,832.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,738.29 / $2,287.23 / $4,155.63	Professional		$1,738.29	$2,287.23	$4,155.63
United Facility/Professional Professional Modifier Low / Median / High Price $760.72 / $1,141.07 / $1,882.58	Professional		$760.72	$1,141.07	$1,882.58