Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,259.48 / $1,259.48 / $3,567.66	Facility		$1,259.48	$1,259.48	$3,567.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,259.48 / $1,788.46 / $2,015.17	Professional		$1,259.48	$1,788.46	$2,015.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,023.44 / $4,232.82 / $11,096.02	Facility		$3,023.44	$4,232.82	$11,096.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,611.88 / $2,513.92 / $4,826.75	Professional		$1,611.88	$2,513.92	$4,826.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,500.21 / $2,569.92 / $5,593.36	Facility		$2,500.21	$2,569.92	$5,593.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,569.92 / $2,569.92 / $2,569.92	Professional		$2,569.92	$2,569.92	$2,569.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,902.78 / $1,902.78 / $1,902.78	Facility		$1,902.78	$1,902.78	$1,902.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,389.03 / $1,861.89 / $3,409.88	Professional		$1,389.03	$1,861.89	$3,409.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,297.81 / $3,023.44 / $4,201.10	Professional		$2,297.81	$3,023.44	$4,201.10
United Facility/Professional Professional Modifier Low / Median / High Price $1,005.57 / $1,508.36 / $2,488.51	Professional		$1,005.57	$1,508.36	$2,488.51