Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,582.69 / $2,582.69 / $7,315.87	Facility		$2,582.69	$2,582.69	$7,315.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,582.69 / $3,667.43 / $5,211.68	Professional		$2,582.69	$3,667.43	$5,211.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,199.89 / $8,679.85 / $22,753.60	Facility		$6,199.89	$8,679.85	$22,753.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,305.35 / $5,155.09 / $9,897.77	Professional		$3,305.35	$5,155.09	$9,897.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5,247.02 / $6,392.51 / $11,469.80	Facility		$5,247.02	$6,392.51	$11,469.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5,269.91 / $5,269.91 / $5,269.91	Professional		$5,269.91	$5,269.91	$5,269.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,865.01 / $4,865.01 / $4,865.01	Facility		$4,865.01	$4,865.01	$4,865.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,551.46 / $4,760.46 / $8,248.29	Professional		$3,551.46	$4,760.46	$8,248.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,711.92 / $6,199.89 / $8,613.64	Professional		$4,711.92	$6,199.89	$8,613.64
United Facility/Professional Facility Modifier Low / Median / High Price $5,320.94 / $5,320.94 / $5,320.94	Facility		$5,320.94	$5,320.94	$5,320.94
United Facility/Professional Professional Modifier Low / Median / High Price $2,062.04 / $3,093.05 / $5,364.57	Professional		$2,062.04	$3,093.05	$5,364.57