Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,968.68 / $1,968.68 / $5,576.56	Facility		$1,968.68	$1,968.68	$5,576.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,924.20 / $2,570.69 / $3,430.35	Professional		$1,924.20	$2,570.69	$3,430.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,725.89 / $6,616.26 / $17,344.05	Facility		$4,725.89	$6,616.26	$17,344.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,043.56 / $4,187.58 / $8,121.98	Professional		$3,043.56	$4,187.58	$8,121.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,365.14 / $4,331.52 / $8,742.92	Facility		$3,365.14	$4,331.52	$8,742.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4,017.02 / $4,017.02 / $4,017.02	Professional		$4,017.02	$4,017.02	$4,017.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,001.57 / $3,001.57 / $3,001.57	Facility		$3,001.57	$3,001.57	$3,001.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,191.15 / $3,001.57 / $5,289.93	Professional		$2,191.15	$3,001.57	$5,289.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,591.68 / $4,725.89 / $9,773.00	Professional		$3,591.68	$4,725.89	$9,773.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,571.80 / $2,361.54 / $4,178.10	Professional		$1,571.80	$2,361.54	$4,178.10