Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,820.74 / $1,820.74 / $5,157.50	Facility		$1,820.74	$1,820.74	$5,157.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,820.74 / $2,621.86 / $3,461.55	Professional		$1,820.74	$2,621.86	$3,461.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,370.76 / $6,119.06 / $16,040.69	Facility		$4,370.76	$6,119.06	$16,040.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,330.19 / $3,634.20 / $6,977.66	Professional		$2,330.19	$3,634.20	$6,977.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,715.15 / $4,637.91 / $8,085.91	Facility		$3,715.15	$4,637.91	$8,085.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,715.15 / $3,715.15 / $3,715.15	Professional		$3,715.15	$3,715.15	$3,715.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,523.90 / $3,523.90 / $3,523.90	Facility		$3,523.90	$3,523.90	$3,523.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,572.44 / $3,448.16 / $5,840.11	Professional		$2,572.44	$3,448.16	$5,840.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,321.78 / $4,370.76 / $7,941.23	Professional		$3,321.78	$4,370.76	$7,941.23
United Facility/Professional Professional Modifier Low / Median / High Price $1,453.68 / $2,180.52 / $3,597.48	Professional		$1,453.68	$2,180.52	$3,597.48