Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.97 / $1,380.97 / $3,911.79	Facility		$1,380.97	$1,380.97	$3,911.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,380.97 / $1,960.98 / $2,786.69	Professional		$1,380.97	$1,960.98	$2,786.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,315.08 / $4,641.10 / $12,166.34	Facility		$3,315.08	$4,641.10	$12,166.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,767.37 / $2,756.43 / $5,292.35	Professional		$1,767.37	$2,756.43	$5,292.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,817.82 / $3,465.97 / $6,497.56	Facility		$2,817.82	$3,465.97	$6,497.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,817.82 / $2,817.82 / $2,817.82	Professional		$2,817.82	$2,817.82	$2,817.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,637.76 / $2,637.76 / $2,637.76	Facility		$2,637.76	$2,637.76	$2,637.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,925.56 / $2,581.08 / $4,429.70	Professional		$1,925.56	$2,581.08	$4,429.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,519.46 / $3,315.08 / $4,605.85	Professional		$2,519.46	$3,315.08	$4,605.85
United Facility/Professional Professional Modifier Low / Median / High Price $1,378.22 / $1,653.86 / $3,237.38	Professional		$1,378.22	$1,653.86	$3,237.38