Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,841.28 / $1,841.28 / $4,373.80	Facility		$1,841.28	$1,841.28	$4,373.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,744.37 / $2,069.05 / $2,584.26	Professional		$1,744.37	$2,069.05	$2,584.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,877.26 / $5,428.16 / $14,229.54	Facility		$3,877.26	$5,428.16	$14,229.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,048.37 / $3,223.87 / $6,189.83	Professional		$2,048.37	$3,223.87	$6,189.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,199.33 / $3,295.67 / $7,172.93	Facility		$3,199.33	$3,295.67	$7,172.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,295.67 / $3,295.67 / $3,295.67	Professional		$3,295.67	$3,295.67	$3,295.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,326.75 / $2,326.75 / $2,326.75	Facility		$2,326.75	$2,326.75	$2,326.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,698.53 / $2,326.75 / $4,470.75	Professional		$1,698.53	$2,326.75	$4,470.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,946.72 / $3,877.26 / $6,259.57	Professional		$2,946.72	$3,877.26	$6,259.57
United Facility/Professional Professional Modifier Low / Median / High Price $1,289.55 / $1,934.32 / $3,191.27	Professional		$1,289.55	$1,934.32	$3,191.27