Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $4,677.35	Facility		$1,621.81	$1,621.81	$4,677.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,187.76 / $3,548.13	Professional		$1,621.81	$2,187.76	$3,548.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $9,332.54 / $14,454.40	Facility		$3,981.07	$9,332.54	$14,454.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $3,235.94 / $4,897.79	Professional		$2,041.74	$3,235.94	$4,897.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $3,311.31 / $3,311.31	Facility		$3,311.31	$3,311.31	$3,311.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $3,311.31 / $3,311.31	Professional		$3,311.31	$3,311.31	$3,311.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $6,456.54	Facility		$3,162.28	$3,162.28	$6,456.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $4,677.35	Professional		$2,290.87	$2,290.87	$4,677.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $3,981.07 / $6,760.83	Professional		$2,691.53	$3,981.07	$6,760.83
United Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,511.89 / $2,884.03	Facility		$1,412.54	$2,511.89	$2,884.03
United Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,905.46 / $3,311.31	Professional		$1,288.25	$1,905.46	$3,311.31