Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,754.23 / $1,754.23 / $4,969.10	Facility		$1,754.23	$1,754.23	$4,969.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,754.23 / $2,374.91 / $3,148.14	Professional		$1,754.23	$2,374.91	$3,148.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,211.10 / $5,895.54 / $15,454.74	Facility		$4,211.10	$5,895.54	$15,454.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,245.07 / $3,501.46 / $6,722.80	Professional		$2,245.07	$3,501.46	$6,722.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,579.44 / $4,001.63 / $7,790.54	Facility		$3,579.44	$4,001.63	$7,790.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,579.44 / $3,579.44 / $3,579.44	Professional		$3,579.44	$3,579.44	$3,579.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,364.97 / $3,364.97 / $3,364.97	Facility		$3,364.97	$3,364.97	$3,364.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,456.42 / $2,979.98 / $5,435.99	Professional		$2,456.42	$2,979.98	$5,435.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,200.44 / $4,211.10 / $5,850.73	Professional		$3,200.44	$4,211.10	$5,850.73
United Facility/Professional Professional Modifier Low / Median / High Price $1,691.28 / $2,100.88 / $3,466.07	Professional		$1,691.28	$2,100.88	$3,466.07