Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,578.98 / $1,578.98 / $4,472.68	Facility		$1,578.98	$1,578.98	$4,472.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,578.98 / $1,901.83 / $2,526.37	Professional		$1,578.98	$1,901.83	$2,526.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,790.41 / $5,306.57 / $13,910.80	Facility		$3,790.41	$5,306.57	$13,910.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,020.79 / $3,151.66 / $6,051.19	Professional		$2,020.79	$3,151.66	$6,051.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,158.97 / $3,221.85 / $7,012.26	Facility		$3,158.97	$3,221.85	$7,012.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,221.85 / $3,221.85 / $3,221.85	Professional		$3,221.85	$3,221.85	$3,221.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,677.88 / $2,677.88 / $2,677.88	Facility		$2,677.88	$2,677.88	$2,677.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,954.85 / $2,386.38 / $4,370.63	Professional		$1,954.85	$2,386.38	$4,370.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,880.71 / $3,790.41 / $5,266.10	Professional		$2,880.71	$3,790.41	$5,266.10
United Facility/Professional Professional Modifier Low / Median / High Price $1,260.66 / $1,891.00 / $3,119.81	Professional		$1,260.66	$1,891.00	$3,119.81