Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,189.72 / $1,189.72 / $3,370.04	Facility		$1,189.72	$1,189.72	$3,370.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,189.72 / $1,689.40 / $2,017.72	Professional		$1,189.72	$1,689.40	$2,017.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,855.97 / $3,998.36 / $10,481.41	Facility		$2,855.97	$3,998.36	$10,481.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,522.61 / $2,374.69 / $4,559.39	Professional		$1,522.61	$2,374.69	$4,559.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,427.57 / $2,519.23 / $5,283.54	Facility		$2,427.57	$2,519.23	$5,283.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,427.57 / $2,427.57 / $2,427.57	Professional		$2,427.57	$2,427.57	$2,427.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,050.41 / $2,050.41 / $2,050.41	Facility		$2,050.41	$2,050.41	$2,050.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,496.80 / $1,496.80 / $3,816.35	Professional		$1,496.80	$1,496.80	$3,816.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,170.54 / $2,855.97 / $3,967.91	Professional		$2,170.54	$2,855.97	$3,967.91
United Facility/Professional Professional Modifier Low / Median / High Price $1,115.61 / $1,424.81 / $2,350.67	Professional		$1,115.61	$1,424.81	$2,350.67