Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,755.80 / $1,755.80 / $4,973.56	Facility		$1,755.80	$1,755.80	$4,973.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,755.80 / $2,493.23 / $3,180.26	Professional		$1,755.80	$2,493.23	$3,180.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,214.88 / $5,900.83 / $15,468.61	Facility		$4,214.88	$5,900.83	$15,468.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,247.08 / $3,504.59 / $6,728.81	Professional		$2,247.08	$3,504.59	$6,728.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,582.65 / $4,392.45 / $8,261.16	Facility		$3,582.65	$4,392.45	$8,261.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,582.65 / $3,582.65 / $3,582.65	Professional		$3,582.65	$3,582.65	$3,582.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,249.00 / $3,249.00 / $3,249.00	Facility		$3,249.00	$3,249.00	$3,249.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,371.77 / $3,249.00 / $5,631.78	Professional		$2,371.77	$3,249.00	$5,631.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,203.31 / $4,214.88 / $5,855.53	Professional		$3,203.31	$4,214.88	$5,855.53
United Facility/Professional Professional Modifier Low / Median / High Price $1,646.44 / $2,102.75 / $3,469.17	Professional		$1,646.44	$2,102.75	$3,469.17