Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,020.66 / $1,020.66 / $6,295.24	Facility		$1,020.66	$1,020.66	$6,295.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,020.66 / $1,449.34 / $1,860.38	Professional		$1,020.66	$1,449.34	$1,860.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,450.14 / $3,430.20 / $8,992.01	Facility		$2,450.14	$3,430.20	$8,992.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,306.24 / $2,037.24 / $3,911.50	Professional		$1,306.24	$2,037.24	$3,911.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,082.62 / $2,730.76 / $4,802.27	Facility		$2,082.62	$2,730.76	$4,802.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,082.62 / $2,082.62 / $2,082.62	Professional		$2,082.62	$2,082.62	$2,082.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,787.17 / $1,787.17 / $1,787.17	Facility		$1,787.17	$1,787.17	$1,787.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,304.63 / $1,304.63 / $3,724.50	Professional		$1,304.63	$1,304.63	$3,724.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,862.11 / $2,450.14 / $4,452.08	Professional		$1,862.11	$2,450.14	$4,452.08
United Facility/Professional Facility Modifier Low / Median / High Price $1,448.21 / $1,448.21 / $1,448.21	Facility		$1,448.21	$1,448.21	$1,448.21
United Facility/Professional Professional Modifier Low / Median / High Price $957.08 / $1,222.33 / $2,392.71	Professional		$957.08	$1,222.33	$2,392.71