Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,540.19 / $2,540.19 / $7,195.49	Facility		$2,540.19	$2,540.19	$7,195.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,540.19 / $3,186.58 / $4,789.76	Professional		$2,540.19	$3,186.58	$4,789.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,097.87 / $8,537.02 / $22,379.18	Facility		$6,097.87	$8,537.02	$22,379.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,377.77 / $5,070.26 / $9,734.90	Professional		$3,377.77	$5,070.26	$9,734.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,744.78 / $5,369.26 / $11,281.06	Facility		$4,744.78	$5,369.26	$11,281.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5,183.18 / $5,183.18 / $5,183.18	Professional		$5,183.18	$5,183.18	$5,183.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,052.23 / $4,052.23 / $4,052.23	Facility		$4,052.23	$4,052.23	$4,052.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,958.13 / $3,998.46 / $7,323.00	Professional		$2,958.13	$3,998.46	$7,323.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,634.38 / $6,097.87 / $8,472.10	Professional		$4,634.38	$6,097.87	$8,472.10
United Facility/Professional Professional Modifier Low / Median / High Price $2,028.10 / $3,042.16 / $5,019.03	Professional		$2,028.10	$3,042.16	$5,019.03