Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,608.42 / $1,608.42 / $4,556.07	Facility		$1,608.42	$1,608.42	$4,556.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,608.42 / $2,283.96 / $3,008.50	Professional		$1,608.42	$2,283.96	$3,008.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,861.08 / $5,405.51 / $14,170.16	Facility		$3,861.08	$5,405.51	$14,170.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,058.44 / $3,210.42 / $6,164.01	Professional		$2,058.44	$3,210.42	$6,164.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,125.75 / $4,127.89 / $7,143.00	Facility		$3,125.75	$4,127.89	$7,143.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,281.92 / $3,281.92 / $3,281.92	Professional		$3,281.92	$3,281.92	$3,281.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,141.52 / $3,141.52 / $3,141.52	Facility		$3,141.52	$3,141.52	$3,141.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,293.31 / $2,922.37 / $4,866.97	Professional		$2,293.31	$2,922.37	$4,866.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,934.42 / $3,861.08 / $6,617.87	Professional		$2,934.42	$3,861.08	$6,617.87
United Facility/Professional Professional Modifier Low / Median / High Price $1,422.76 / $1,926.25 / $3,210.42	Professional		$1,422.76	$1,926.25	$3,210.42