Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,594.21 / $2,594.21 / $7,348.46	Facility		$2,594.21	$2,594.21	$7,348.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,594.21 / $3,683.78 / $4,992.37	Professional		$2,594.21	$3,683.78	$4,992.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,227.51 / $8,718.51 / $22,854.96	Facility		$6,227.51	$8,718.51	$22,854.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,320.09 / $5,178.07 / $9,941.89	Professional		$3,320.09	$5,178.07	$9,941.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5,293.38 / $6,227.51 / $12,205.92	Facility		$5,293.38	$6,227.51	$12,205.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5,293.38 / $5,293.38 / $5,293.38	Professional		$5,293.38	$5,293.38	$5,293.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,366.38 / $4,366.38 / $4,366.38	Facility		$4,366.38	$4,366.38	$4,366.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,187.46 / $4,272.55 / $7,825.13	Professional		$3,187.46	$4,272.55	$7,825.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,732.91 / $6,227.51 / $8,652.25	Professional		$4,732.91	$6,227.51	$8,652.25
United Facility/Professional Professional Modifier Low / Median / High Price $2,432.62 / $3,106.84 / $5,125.72	Professional		$2,432.62	$3,106.84	$5,125.72