Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,179.45 / $1,179.45 / $3,340.96	Facility		$1,179.45	$1,179.45	$3,340.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,179.45 / $1,674.82 / $2,031.44	Professional		$1,179.45	$1,674.82	$2,031.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,831.32 / $3,963.85 / $10,390.94	Facility		$2,831.32	$3,963.85	$10,390.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,535.76 / $2,354.19 / $4,520.04	Professional		$1,535.76	$2,354.19	$4,520.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,406.62 / $2,885.59 / $5,549.39	Facility		$2,406.62	$2,885.59	$5,549.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,406.62 / $2,406.62 / $2,406.62	Professional		$2,406.62	$2,406.62	$2,406.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,769.18 / $1,769.18 / $1,769.18	Facility		$1,769.18	$1,769.18	$1,769.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,291.50 / $1,769.17 / $3,783.19	Professional		$1,291.50	$1,769.17	$3,783.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,151.80 / $2,831.32 / $3,933.62	Professional		$2,151.80	$2,831.32	$3,933.62
United Facility/Professional Professional Modifier Low / Median / High Price $941.68 / $1,412.51 / $2,330.39	Professional		$941.68	$1,412.51	$2,330.39