Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,429.17 / $1,429.17 / $4,048.31	Facility		$1,429.17	$1,429.17	$4,048.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,429.17 / $1,959.85 / $2,576.61	Professional		$1,429.17	$1,959.85	$2,576.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,430.77 / $4,803.08 / $12,590.93	Facility		$3,430.77	$4,803.08	$12,590.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,829.05 / $2,852.62 / $5,477.03	Professional		$1,829.05	$2,852.62	$5,477.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,739.60 / $3,302.28 / $6,346.92	Facility		$2,739.60	$3,302.28	$6,346.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,916.15 / $2,916.15 / $2,916.15	Professional		$2,916.15	$2,916.15	$2,916.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,561.34 / $2,561.34 / $2,561.34	Facility		$2,561.34	$2,561.34	$2,561.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,869.78 / $2,459.17 / $4,306.49	Professional		$1,869.78	$2,459.17	$4,306.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,607.39 / $3,430.77 / $5,856.48	Professional		$2,607.39	$3,430.77	$5,856.48
United Facility/Professional Professional Modifier Low / Median / High Price $1,141.05 / $1,711.57 / $2,852.62	Professional		$1,141.05	$1,711.57	$2,852.62