Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,357.35 / $2,357.35 / $5,599.67	Facility		$2,357.35	$2,357.35	$5,599.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,233.28 / $2,649.64 / $3,430.48	Professional		$2,233.28	$2,649.64	$3,430.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,963.96 / $6,949.54 / $18,217.73	Facility		$4,963.96	$6,949.54	$18,217.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,646.44 / $4,127.45 / $7,924.70	Professional		$2,646.44	$4,127.45	$7,924.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,096.01 / $4,219.37 / $9,183.33	Facility		$4,096.01	$4,219.37	$9,183.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4,219.37 / $4,219.37 / $4,219.37	Professional		$4,219.37	$4,219.37	$4,219.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,756.64 / $2,756.64 / $2,756.64	Facility		$2,756.64	$2,756.64	$2,756.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,012.35 / $2,012.35 / $5,894.77	Professional		$2,012.35	$2,012.35	$5,894.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,772.61 / $4,963.96 / $8,620.00	Professional		$3,772.61	$4,963.96	$8,620.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,650.98 / $2,476.46 / $4,085.72	Professional		$1,650.98	$2,476.46	$4,085.72