Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,132.77 / $2,132.77 / $6,041.38	Facility		$2,132.77	$2,132.77	$6,041.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,132.77 / $2,732.14 / $3,412.43	Professional		$2,132.77	$2,732.14	$3,412.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,119.81 / $7,167.73 / $18,789.70	Facility		$5,119.81	$7,167.73	$18,789.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,752.64 / $4,257.03 / $8,173.50	Professional		$2,752.64	$4,257.03	$8,173.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,224.60 / $4,351.84 / $9,471.65	Facility		$4,224.60	$4,351.84	$9,471.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4,351.84 / $4,351.84 / $4,351.84	Professional		$4,351.84	$4,351.84	$4,351.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,294.10 / $3,294.10 / $3,294.10	Facility		$3,294.10	$3,294.10	$3,294.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,404.69 / $3,223.30 / $5,903.25	Professional		$2,404.69	$3,223.30	$5,903.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,891.06 / $5,119.81 / $7,113.58	Professional		$3,891.06	$5,119.81	$7,113.58
United Facility/Professional Professional Modifier Low / Median / High Price $1,702.81 / $2,554.21 / $4,214.00	Professional		$1,702.81	$2,554.21	$4,214.00