Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,323.76 / $1,323.76 / $3,749.73	Facility		$1,323.76	$1,323.76	$3,749.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,323.76 / $1,906.21 / $2,528.53	Professional		$1,323.76	$1,906.21	$2,528.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,177.74 / $4,448.84 / $11,662.31	Facility		$3,177.74	$4,448.84	$11,662.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,694.16 / $2,642.23 / $5,073.08	Professional		$1,694.16	$2,642.23	$5,073.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,701.08 / $3,253.56 / $5,878.82	Facility		$2,701.08	$3,253.56	$5,878.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,701.08 / $2,701.08 / $2,701.08	Professional		$2,701.08	$2,701.08	$2,701.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,476.09 / $2,476.09 / $2,476.09	Facility		$2,476.09	$2,476.09	$2,476.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,807.55 / $2,422.89 / $4,246.01	Professional		$1,807.55	$2,422.89	$4,246.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,415.08 / $3,177.74 / $5,773.31	Professional		$2,415.08	$3,177.74	$5,773.31
United Facility/Professional Professional Modifier Low / Median / High Price $1,241.31 / $1,585.34 / $2,615.53	Professional		$1,241.31	$1,585.34	$2,615.53