Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,701.85 / $1,701.85 / $4,820.72	Facility		$1,701.85	$1,701.85	$4,820.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,701.85 / $2,194.12 / $2,722.96	Professional		$1,701.85	$2,194.12	$2,722.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,085.36 / $5,719.50 / $14,993.27	Facility		$4,085.36	$5,719.50	$14,993.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,172.01 / $3,396.91 / $6,522.07	Professional		$2,172.01	$3,396.91	$6,522.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,371.09 / $3,472.56 / $7,557.92	Facility		$3,371.09	$3,472.56	$7,557.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,472.56 / $3,472.56 / $3,472.56	Professional		$3,472.56	$3,472.56	$3,472.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,282.71 / $2,282.71 / $2,282.71	Facility		$2,282.71	$2,282.71	$2,282.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,666.39 / $1,666.39 / $4,881.32	Professional		$1,666.39	$1,666.39	$4,881.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,104.87 / $4,085.36 / $5,675.61	Professional		$3,104.87	$4,085.36	$5,675.61
United Facility/Professional Facility Modifier Low / Median / High Price $1,982.23 / $1,982.23 / $1,982.23	Facility		$1,982.23	$1,982.23	$1,982.23
United Facility/Professional Professional Modifier Low / Median / High Price $1,527.55 / $2,038.15 / $3,362.57	Professional		$1,527.55	$2,038.15	$3,362.57