Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,201.94 / $1,201.94 / $3,404.65	Facility		$1,201.94	$1,201.94	$3,404.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,201.94 / $1,706.75 / $2,021.32	Professional		$1,201.94	$1,706.75	$2,021.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,885.30 / $4,039.42 / $10,589.05	Facility		$2,885.30	$4,039.42	$10,589.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,538.25 / $2,399.08 / $4,606.22	Professional		$1,538.25	$2,399.08	$4,606.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,452.51 / $3,008.51 / $5,655.19	Facility		$2,452.51	$3,008.51	$5,655.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,452.51 / $2,452.51 / $2,452.51	Professional		$2,452.51	$2,452.51	$2,452.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,289.62 / $2,289.62 / $2,289.62	Facility		$2,289.62	$2,289.62	$2,289.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,671.42 / $1,671.42 / $4,103.25	Professional		$1,671.42	$1,671.42	$4,103.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,192.83 / $2,885.30 / $4,008.52	Professional		$2,192.83	$2,885.30	$4,008.52
United Facility/Professional Professional Modifier Low / Median / High Price $1,253.11 / $1,439.45 / $3,211.31	Professional		$1,253.11	$1,439.45	$3,211.31