Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,140.84 / $1,140.84 / $6,220.54	Facility		$1,140.84	$1,140.84	$6,220.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,140.84 / $1,620.01 / $2,351.06	Professional		$1,140.84	$1,620.01	$2,351.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,738.66 / $3,834.12 / $10,050.87	Facility		$2,738.66	$3,834.12	$10,050.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,460.07 / $2,277.15 / $4,372.13	Professional		$1,460.07	$2,277.15	$4,372.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,327.86 / $2,558.42 / $5,066.52	Facility		$2,327.86	$2,558.42	$5,066.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,327.86 / $2,327.86 / $2,327.86	Professional		$2,327.86	$2,327.86	$2,327.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,711.28 / $1,711.28 / $1,711.28	Facility		$1,711.28	$1,711.28	$1,711.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,249.23 / $1,711.28 / $3,489.38	Professional		$1,249.23	$1,711.28	$3,489.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,081.38 / $2,738.66 / $3,805.20	Professional		$2,081.38	$2,738.66	$3,805.20
United Facility/Professional Professional Modifier Low / Median / High Price $910.86 / $1,366.29 / $2,254.14	Professional		$910.86	$1,366.29	$2,254.14