Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $3,548.13	Facility		$1,202.26	$1,202.26	$3,548.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,621.81 / $2,754.23	Professional		$1,202.26	$1,621.81	$2,754.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $6,918.31 / $10,715.19	Facility		$2,951.21	$6,918.31	$10,715.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,398.83 / $3,801.89	Professional		$1,548.82	$2,398.83	$3,801.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $2,454.71	Facility		$2,454.71	$2,454.71	$2,454.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $2,454.71	Professional		$2,454.71	$2,454.71	$2,454.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $5,011.87	Facility		$1,737.80	$1,737.80	$5,011.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $3,548.13	Professional		$1,258.93	$1,258.93	$3,548.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,951.21 / $3,981.07	Professional		$2,041.74	$2,951.21	$3,981.07
United Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,949.84 / $2,187.76	Facility		$1,071.52	$1,949.84	$2,187.76
United Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,445.44 / $2,818.38	Professional		$954.99	$1,445.44	$2,818.38