Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,828.86 / $1,828.86 / $5,180.49	Facility		$1,828.86	$1,828.86	$5,180.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,828.86 / $2,443.73 / $3,177.21	Professional		$1,828.86	$2,443.73	$3,177.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,390.25 / $6,146.35 / $16,112.22	Facility		$4,390.25	$6,146.35	$16,112.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,313.19 / $3,650.41 / $7,008.79	Professional		$2,313.19	$3,650.41	$7,008.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,394.42 / $3,731.71 / $8,121.96	Facility		$3,394.42	$3,731.71	$8,121.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,731.71 / $3,731.71 / $3,731.71	Professional		$3,731.71	$3,731.71	$3,731.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,728.17 / $2,728.17 / $2,728.17	Facility		$2,728.17	$2,728.17	$2,728.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,991.56 / $1,991.56 / $5,297.99	Professional		$1,991.56	$1,991.56	$5,297.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,336.59 / $4,390.25 / $6,099.40	Professional		$3,336.59	$4,390.25	$6,099.40
United Facility/Professional Professional Modifier Low / Median / High Price $1,460.16 / $2,190.25 / $3,613.52	Professional		$1,460.16	$2,190.25	$3,613.52