Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,902.04 / $1,902.04 / $5,387.79	Facility		$1,902.04	$1,902.04	$5,387.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,902.04 / $2,700.90 / $3,836.45	Professional		$1,902.04	$2,700.90	$3,836.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,565.92 / $6,392.29 / $16,756.93	Facility		$4,565.92	$6,392.29	$16,756.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,434.23 / $3,796.48 / $7,289.24	Professional		$2,434.23	$3,796.48	$7,289.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,881.03 / $4,893.14 / $8,949.20	Facility		$3,881.03	$4,893.14	$8,949.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,881.03 / $3,881.03 / $3,881.03	Professional		$3,881.03	$3,881.03	$3,881.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,853.06 / $2,853.06 / $2,853.06	Facility		$2,853.06	$2,853.06	$2,853.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,082.73 / $2,853.06 / $6,221.07	Professional		$2,082.73	$2,853.06	$6,221.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,470.10 / $4,565.92 / $6,343.51	Professional		$3,470.10	$4,565.92	$6,343.51
United Facility/Professional Professional Modifier Low / Median / High Price $1,783.56 / $2,277.89 / $3,758.12	Professional		$1,783.56	$2,277.89	$3,758.12