Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $4,073.80	Facility		$1,380.38	$1,380.38	$4,073.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,949.84 / $3,388.44	Professional		$1,380.38	$1,949.84	$3,388.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $7,943.28 / $12,302.69	Facility		$3,388.44	$7,943.28	$12,302.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,754.23 / $4,466.84	Professional		$1,778.28	$2,754.23	$4,466.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $2,818.38	Facility		$2,818.38	$2,818.38	$2,818.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $2,818.38	Professional		$2,818.38	$2,818.38	$2,818.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $2,630.27 / $6,025.60	Facility		$2,630.27	$2,630.27	$6,025.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $4,265.80	Professional		$1,905.46	$1,905.46	$4,265.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $3,388.44 / $4,570.88	Professional		$2,344.23	$3,388.44	$4,570.88
United Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $2,290.87 / $2,630.27	Facility		$1,288.25	$2,290.87	$2,630.27
United Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,659.59 / $2,884.03	Professional		$1,096.48	$1,659.59	$2,884.03