Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,035.17 / $1,035.17 / $2,932.25	Facility		$1,035.17	$1,035.17	$2,932.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,035.17 / $1,469.94 / $2,071.75	Professional		$1,035.17	$1,469.94	$2,071.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,484.96 / $3,478.94 / $9,119.79	Facility		$2,484.96	$3,478.94	$9,119.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,324.82 / $2,066.19 / $3,967.10	Professional		$1,324.82	$2,066.19	$3,967.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,112.21 / $2,580.77 / $4,870.52	Facility		$2,112.21	$2,580.77	$4,870.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,112.21 / $2,112.21 / $2,112.21	Professional		$2,112.21	$2,112.21	$2,112.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,552.76 / $1,552.76 / $1,552.76	Facility		$1,552.76	$1,552.76	$1,552.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,133.51 / $1,133.51 / $3,519.75	Professional		$1,133.51	$1,133.51	$3,519.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,888.57 / $2,484.96 / $3,452.41	Professional		$1,888.57	$2,484.96	$3,452.41
United Facility/Professional Professional Modifier Low / Median / High Price $970.69 / $1,239.72 / $2,150.16	Professional		$970.69	$1,239.72	$2,150.16