Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,877.80 / $1,877.80 / $9,237.84	Facility		$1,877.80	$1,877.80	$9,237.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,877.80 / $2,371.30 / $3,004.48	Professional		$1,877.80	$2,371.30	$3,004.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,507.74 / $6,310.84 / $16,543.41	Facility		$4,507.74	$6,310.84	$16,543.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,423.56 / $3,748.10 / $7,196.35	Professional		$2,423.56	$3,748.10	$7,196.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,719.53 / $3,831.58 / $8,339.32	Facility		$3,719.53	$3,831.58	$8,339.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,831.58 / $3,831.58 / $3,831.58	Professional		$3,831.58	$3,831.58	$3,831.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,502.67 / $2,502.67 / $2,502.67	Facility		$2,502.67	$2,502.67	$2,502.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,826.95 / $2,502.67 / $5,197.50	Professional		$1,826.95	$2,502.67	$5,197.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,425.88 / $4,507.74 / $6,262.86	Professional		$3,425.88	$4,507.74	$6,262.86
United Facility/Professional Professional Modifier Low / Median / High Price $1,564.52 / $2,248.86 / $3,748.10	Professional		$1,564.52	$2,248.86	$3,748.10