Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,909.75 / $1,909.75 / $5,409.64	Facility		$1,909.75	$1,909.75	$5,409.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,909.75 / $2,711.85 / $3,853.72	Professional		$1,909.75	$2,711.85	$3,853.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,584.43 / $6,418.22 / $16,824.89	Facility		$4,584.43	$6,418.22	$16,824.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,444.10 / $3,811.87 / $7,318.79	Professional		$2,444.10	$3,811.87	$7,318.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,896.77 / $4,822.70 / $8,985.50	Facility		$3,896.77	$4,822.70	$8,985.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,896.77 / $3,896.77 / $3,896.77	Professional		$3,896.77	$3,896.77	$3,896.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,670.30 / $3,670.30 / $3,670.30	Facility		$3,670.30	$3,670.30	$3,670.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,679.32 / $3,591.42 / $6,125.96	Professional		$2,679.32	$3,591.42	$6,125.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,484.17 / $4,584.43 / $6,369.64	Professional		$3,484.17	$4,584.43	$6,369.64
United Facility/Professional Professional Modifier Low / Median / High Price $1,991.07 / $2,287.12 / $5,102.43	Professional		$1,991.07	$2,287.12	$5,102.43