Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,364.01 / $1,364.01 / $3,863.74	Facility		$1,364.01	$1,364.01	$3,863.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,364.01 / $1,939.00 / $2,762.92	Professional		$1,364.01	$1,939.00	$2,762.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,274.36 / $4,584.10 / $12,016.90	Facility		$3,274.36	$4,584.10	$12,016.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,745.66 / $2,722.57 / $5,227.33	Professional		$1,745.66	$2,722.57	$5,227.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,783.21 / $3,356.57 / $6,417.75	Facility		$2,783.21	$3,356.57	$6,417.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,783.21 / $2,783.21 / $2,783.21	Professional		$2,783.21	$2,783.21	$2,783.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,694.60 / $2,694.60 / $2,694.60	Facility		$2,694.60	$2,694.60	$2,694.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,967.06 / $1,967.06 / $4,578.00	Professional		$1,967.06	$1,967.06	$4,578.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,488.51 / $3,274.36 / $5,949.25	Professional		$2,488.51	$3,274.36	$5,949.25
United Facility/Professional Professional Modifier Low / Median / High Price $1,279.04 / $1,633.54 / $2,695.06	Professional		$1,279.04	$1,633.54	$2,695.06