Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $6,760.83	Facility		$2,290.87	$2,290.87	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,884.03 / $4,786.30	Professional		$2,290.87	$2,884.03	$4,786.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $13,489.63 / $20,892.96	Facility		$5,623.41	$13,489.63	$20,892.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $4,570.88 / $6,918.31	Professional		$3,890.45	$4,570.88	$6,918.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $4,677.35 / $4,677.35	Facility		$4,677.35	$4,677.35	$4,677.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $4,677.35 / $4,677.35	Professional		$4,677.35	$4,677.35	$4,677.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $9,120.11	Facility		$3,715.35	$3,715.35	$9,120.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $6,606.93	Professional		$2,691.53	$2,691.53	$6,606.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $5,623.41 / $10,964.78	Professional		$3,801.89	$5,623.41	$10,964.78
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $3,890.45 / $4,073.80	Facility		$1,995.26	$3,890.45	$4,073.80
United Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,754.23 / $5,370.32	Professional		$1,819.70	$2,754.23	$5,370.32