Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,294.33 / $1,294.33 / $3,666.35	Facility		$1,294.33	$1,294.33	$3,666.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,294.33 / $1,837.94 / $2,611.84	Professional		$1,294.33	$1,837.94	$2,611.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,107.08 / $4,349.91 / $11,402.98	Facility		$3,107.08	$4,349.91	$11,402.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,656.49 / $2,583.48 / $4,960.28	Professional		$1,656.49	$2,583.48	$4,960.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,641.02 / $3,258.43 / $6,089.88	Facility		$2,641.02	$3,258.43	$6,089.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,641.02 / $2,641.02 / $2,641.02	Professional		$2,641.02	$2,641.02	$2,641.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,479.82 / $2,479.82 / $2,479.82	Facility		$2,479.82	$2,479.82	$2,479.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,810.27 / $2,426.54 / $4,151.92	Professional		$1,810.27	$2,426.54	$4,151.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,361.38 / $3,107.08 / $5,645.34	Professional		$2,361.38	$3,107.08	$5,645.34
United Facility/Professional Professional Modifier Low / Median / High Price $1,033.39 / $1,550.09 / $2,557.37	Professional		$1,033.39	$1,550.09	$2,557.37