Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,298.42 / $2,298.42 / $6,510.59	Facility		$2,298.42	$2,298.42	$6,510.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,298.42 / $3,084.95 / $3,784.05	Professional		$2,298.42	$3,084.95	$3,784.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,517.45 / $7,724.43 / $20,249.04	Facility		$5,517.45	$7,724.43	$20,249.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,569.66 / $4,888.96 / $9,020.94	Professional		$3,569.66	$4,888.96	$9,020.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,641.39 / $4,898.01 / $10,207.28	Facility		$4,641.39	$4,898.01	$10,207.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4,689.83 / $4,689.83 / $4,689.83	Professional		$4,689.83	$4,689.83	$4,689.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,728.42 / $3,728.42 / $3,728.42	Facility		$3,728.42	$3,728.42	$3,728.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,721.75 / $3,647.50 / $6,680.25	Professional		$2,721.75	$3,647.50	$6,680.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,193.26 / $5,517.45 / $11,518.00	Professional		$4,193.26	$5,517.45	$11,518.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,006.41 / $2,752.59 / $4,763.58	Professional		$2,006.41	$2,752.59	$4,763.58