Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,644.37 / $2,644.37 / $7,490.55	Facility		$2,644.37	$2,644.37	$7,490.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,644.37 / $3,643.25 / $4,999.18	Professional		$2,644.37	$3,643.25	$4,999.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,347.92 / $8,887.09 / $23,296.87	Facility		$6,347.92	$8,887.09	$23,296.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,504.35 / $5,278.17 / $10,134.09	Professional		$3,504.35	$5,278.17	$10,134.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5,156.08 / $5,707.45 / $11,743.65	Facility		$5,156.08	$5,707.45	$11,743.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5,395.73 / $5,395.73 / $5,395.73	Professional		$5,395.73	$5,395.73	$5,395.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,790.37 / $3,790.37 / $3,790.37	Facility		$3,790.37	$3,790.37	$3,790.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,766.97 / $3,790.37 / $7,784.25	Professional		$2,766.97	$3,790.37	$7,784.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,824.42 / $6,347.92 / $8,819.62	Professional		$4,824.42	$6,347.92	$8,819.62
United Facility/Professional Professional Modifier Low / Median / High Price $2,111.27 / $3,166.90 / $5,224.82	Professional		$2,111.27	$3,166.90	$5,224.82