Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,010.30 / $1,010.30 / $2,861.81	Facility		$1,010.30	$1,010.30	$2,861.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,010.30 / $1,434.62 / $1,773.31	Professional		$1,010.30	$1,434.62	$1,773.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,425.26 / $3,395.36 / $8,900.70	Facility		$2,425.26	$3,395.36	$8,900.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,292.98 / $2,016.55 / $3,871.78	Professional		$1,292.98	$2,016.55	$3,871.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,061.46 / $2,425.26 / $4,753.51	Facility		$2,061.46	$2,425.26	$4,753.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,061.46 / $2,061.46 / $2,061.46	Professional		$2,061.46	$2,061.46	$2,061.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,769.38 / $1,769.38 / $1,769.38	Facility		$1,769.38	$1,769.38	$1,769.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,291.65 / $1,731.35 / $3,171.00	Professional		$1,291.65	$1,731.35	$3,171.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,843.20 / $2,425.26 / $3,369.77	Professional		$1,843.20	$2,425.26	$3,369.77
United Facility/Professional Professional Modifier Low / Median / High Price $806.62 / $1,209.93 / $1,996.18	Professional		$806.62	$1,209.93	$1,996.18