Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,282.54 / $2,282.54 / $6,465.62	Facility		$2,282.54	$2,282.54	$6,465.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,282.54 / $3,241.21 / $4,437.97	Professional		$2,282.54	$3,241.21	$4,437.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,479.34 / $7,671.08 / $20,109.18	Facility		$5,479.34	$7,671.08	$20,109.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,921.21 / $4,555.97 / $8,747.45	Professional		$2,921.21	$4,555.97	$8,747.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,657.43 / $5,351.02 / $10,136.78	Facility		$4,657.43	$5,351.02	$10,136.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4,657.43 / $4,657.43 / $4,657.43	Professional		$4,657.43	$4,657.43	$4,657.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,072.36 / $4,072.36 / $4,072.36	Facility		$4,072.36	$4,072.36	$4,072.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,972.82 / $3,984.85 / $7,131.34	Professional		$2,972.82	$3,984.85	$7,131.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,164.30 / $5,479.34 / $7,613.29	Professional		$4,164.30	$5,479.34	$7,613.29
United Facility/Professional Professional Modifier Low / Median / High Price $2,084.69 / $2,733.58 / $4,509.92	Professional		$2,084.69	$2,733.58	$4,509.92