Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,862.77 / $1,862.77 / $5,276.55	Facility		$1,862.77	$1,862.77	$5,276.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,862.77 / $2,682.38 / $3,624.33	Professional		$1,862.77	$2,682.38	$3,624.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,471.64 / $6,260.31 / $16,410.96	Facility		$4,471.64	$6,260.31	$16,410.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,383.96 / $3,718.10 / $7,138.75	Professional		$2,383.96	$3,718.10	$7,138.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,800.90 / $4,554.75 / $8,764.43	Facility		$3,800.90	$4,554.75	$8,764.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,800.90 / $3,800.90 / $3,800.90	Professional		$3,800.90	$3,800.90	$3,800.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,813.78 / $3,813.78 / $3,813.78	Facility		$3,813.78	$3,813.78	$3,813.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,784.06 / $3,391.89 / $5,974.97	Professional		$2,784.06	$3,391.89	$5,974.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,398.45 / $4,471.64 / $8,124.64	Professional		$3,398.45	$4,471.64	$8,124.64
United Facility/Professional Professional Modifier Low / Median / High Price $1,487.24 / $2,230.86 / $3,680.52	Professional		$1,487.24	$2,230.86	$3,680.52