Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,053.90 / $1,053.90 / $2,985.32	Facility		$1,053.90	$1,053.90	$2,985.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,053.90 / $1,491.24 / $1,688.20	Professional		$1,053.90	$1,491.24	$1,688.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,529.92 / $3,541.90 / $9,284.84	Facility		$2,529.92	$3,541.90	$9,284.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,348.79 / $2,103.58 / $4,038.87	Professional		$1,348.79	$2,103.58	$4,038.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,150.44 / $2,512.69 / $4,680.37	Facility		$2,150.44	$2,512.69	$4,680.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,150.44 / $2,150.44 / $2,150.44	Professional		$2,150.44	$2,150.44	$2,150.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,523.27 / $1,523.27 / $1,523.27	Facility		$1,523.27	$1,523.27	$1,523.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,111.99 / $1,523.27 / $3,257.20	Professional		$1,111.99	$1,523.27	$3,257.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,922.75 / $2,529.92 / $4,429.68	Professional		$1,922.75	$2,529.92	$4,429.68
United Facility/Professional Facility Modifier Low / Median / High Price $1,624.58 / $1,624.58 / $1,624.58	Facility		$1,624.58	$1,624.58	$1,624.58
United Facility/Professional Professional Modifier Low / Median / High Price $841.43 / $1,262.15 / $2,103.58	Professional		$841.43	$1,262.15	$2,103.58