Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,200.53 / $14,647.51 / $39,519.99	Facility		$1,200.53	$14,647.51	$39,519.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,200.53 / $1,668.68 / $2,102.54	Professional		$1,200.53	$1,668.68	$2,102.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,881.93 / $4,034.70 / $10,576.68	Facility		$2,881.93	$4,034.70	$10,576.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,536.47 / $2,396.27 / $4,600.84	Professional		$1,536.47	$2,396.27	$4,600.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,341.33 / $2,811.66 / $5,331.57	Facility		$2,341.33	$2,811.66	$5,331.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,449.64 / $2,449.64 / $2,449.64	Professional		$2,449.64	$2,449.64	$2,449.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,084.13 / $2,084.13 / $2,084.13	Facility		$2,084.13	$2,084.13	$2,084.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,521.41 / $2,084.13 / $3,680.59	Professional		$1,521.41	$2,084.13	$3,680.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,190.27 / $2,881.93 / $4,004.27	Professional		$2,190.27	$2,881.93	$4,004.27
United Facility/Professional Facility Modifier Low / Median / High Price $847.04 / $1,815.91 / $2,070.48	Facility		$847.04	$1,815.91	$2,070.48
United Facility/Professional Professional Modifier Low / Median / High Price $1,075.98 / $1,437.76 / $2,372.08	Professional		$1,075.98	$1,437.76	$2,372.08