Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,126.39 / $1,126.39 / $3,190.66	Facility		$1,126.39	$1,126.39	$3,190.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,126.39 / $1,536.40 / $1,911.20	Professional		$1,126.39	$1,536.40	$1,911.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,703.95 / $3,785.53 / $9,923.50	Facility		$2,703.95	$3,785.53	$9,923.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,526.81 / $2,248.28 / $4,316.70	Professional		$1,526.81	$2,248.28	$4,316.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,134.14 / $2,588.77 / $5,002.31	Facility		$2,134.14	$2,588.77	$5,002.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,298.36 / $2,298.36 / $2,298.36	Professional		$2,298.36	$2,298.36	$2,298.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,119.51 / $2,119.51 / $2,119.51	Facility		$2,119.51	$2,119.51	$2,119.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,547.24 / $1,547.24 / $3,354.87	Professional		$1,547.24	$1,547.24	$3,354.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,055.00 / $2,703.95 / $5,831.00	Professional		$2,055.00	$2,703.95	$5,831.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,130.97 / $1,348.97 / $3,009.47	Professional		$1,130.97	$1,348.97	$3,009.47