Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $2,818.38	Facility		$1,096.48	$1,096.48	$2,818.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,258.93 / $2,041.74	Professional		$1,047.13	$1,258.93	$2,041.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $5,495.41 / $8,511.38	Facility		$2,344.23	$5,495.41	$8,511.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,905.46 / $3,090.30	Professional		$1,230.27	$1,905.46	$3,090.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $1,949.84	Facility		$1,949.84	$1,949.84	$1,949.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $1,949.84	Professional		$1,949.84	$1,949.84	$1,949.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $4,168.69	Facility		$1,513.56	$1,513.56	$4,168.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $2,818.38	Professional		$1,096.48	$1,096.48	$2,818.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,344.23 / $4,168.69	Professional		$1,621.81	$2,344.23	$4,168.69
United Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,122.02 / $1,621.81	Facility		$724.44	$1,122.02	$1,621.81
United Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,148.15 / $2,238.72	Professional		$758.58	$1,148.15	$2,238.72