Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,958.42 / $1,958.42 / $5,547.49	Facility		$1,958.42	$1,958.42	$5,547.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,958.42 / $2,780.95 / $3,951.93	Professional		$1,958.42	$2,780.95	$3,951.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,701.26 / $6,581.76 / $17,253.62	Facility		$4,701.26	$6,581.76	$17,253.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,506.38 / $3,909.01 / $7,505.30	Professional		$2,506.38	$3,909.01	$7,505.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,996.07 / $4,990.60 / $9,214.46	Facility		$3,996.07	$4,990.60	$9,214.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,996.07 / $3,996.07 / $3,996.07	Professional		$3,996.07	$3,996.07	$3,996.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,798.08 / $3,798.08 / $3,798.08	Facility		$3,798.08	$3,798.08	$3,798.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,772.60 / $3,716.46 / $6,281.87	Professional		$2,772.60	$3,716.46	$6,281.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,572.96 / $4,701.26 / $8,541.60	Professional		$3,572.96	$4,701.26	$8,541.60
United Facility/Professional Professional Modifier Low / Median / High Price $1,954.51 / $2,345.41 / $4,591.07	Professional		$1,954.51	$2,345.41	$4,591.07