Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $4,168.69	Facility		$1,445.44	$1,445.44	$4,168.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,905.46 / $3,235.94	Professional		$1,445.44	$1,905.46	$3,235.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $8,317.64 / $12,882.50	Facility		$3,467.37	$8,317.64	$12,882.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,884.03 / $4,365.16	Professional		$1,819.70	$2,884.03	$4,365.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $2,884.03	Facility		$2,884.03	$2,884.03	$2,884.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $2,884.03	Professional		$2,884.03	$2,884.03	$2,884.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $5,754.40	Facility		$2,570.40	$2,570.40	$5,754.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $4,168.69	Professional		$1,862.09	$1,862.09	$4,168.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $3,467.37 / $6,025.60	Professional		$2,398.83	$3,467.37	$6,025.60
United Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $2,238.72 / $2,570.40	Facility		$1,230.27	$2,238.72	$2,570.40
United Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,698.24 / $2,951.21	Professional		$1,148.15	$1,698.24	$2,951.21