Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,181.23 / $1,181.23 / $2,805.91	Facility		$1,181.23	$1,181.23	$2,805.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,119.06 / $1,324.67 / $1,868.79	Professional		$1,119.06	$1,324.67	$1,868.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,487.38 / $3,482.33 / $9,128.68	Facility		$2,487.38	$3,482.33	$9,128.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,327.04 / $2,068.19 / $3,970.94	Professional		$1,327.04	$2,068.19	$3,970.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,036.66 / $2,114.27 / $4,601.64	Facility		$2,036.66	$2,114.27	$4,601.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,114.27 / $2,114.27 / $2,114.27	Professional		$2,114.27	$2,114.27	$2,114.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,618.14 / $1,618.14 / $1,618.14	Facility		$1,618.14	$1,618.14	$1,618.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,181.24 / $1,181.24 / $2,837.63	Professional		$1,181.24	$1,181.24	$2,837.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,890.41 / $2,487.38 / $3,712.00	Professional		$1,890.41	$2,487.38	$3,712.00
United Facility/Professional Professional Modifier Low / Median / High Price $827.28 / $1,240.92 / $2,429.08	Professional		$827.28	$1,240.92	$2,429.08