Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,451.50 / $1,451.50 / $4,111.58	Facility		$1,451.50	$1,451.50	$4,111.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,451.50 / $2,005.53 / $2,322.40	Professional		$1,451.50	$2,005.53	$2,322.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,484.39 / $4,878.14 / $12,787.71	Facility		$3,484.39	$4,878.14	$12,787.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,835.91 / $2,897.21 / $5,562.64	Professional		$1,835.91	$2,897.21	$5,562.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,610.27 / $3,379.24 / $6,446.12	Facility		$2,610.27	$3,379.24	$6,446.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,961.73 / $2,961.73 / $2,961.73	Professional		$2,961.73	$2,961.73	$2,961.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,571.77 / $2,571.77 / $2,571.77	Facility		$2,571.77	$2,571.77	$2,571.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,877.39 / $2,463.75 / $4,103.54	Professional		$1,877.39	$2,463.75	$4,103.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,648.14 / $3,484.39 / $4,841.12	Professional		$2,648.14	$3,484.39	$4,841.12
United Facility/Professional Professional Modifier Low / Median / High Price $1,199.57 / $1,738.33 / $2,867.93	Professional		$1,199.57	$1,738.33	$2,867.93