Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $3,388.44	Facility		$1,148.15	$1,148.15	$3,388.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,621.81 / $2,630.27	Professional		$1,148.15	$1,621.81	$2,630.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $6,760.83 / $10,471.29	Facility		$2,818.38	$6,760.83	$10,471.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,290.87 / $3,801.89	Professional		$1,479.11	$2,290.87	$3,801.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $2,344.23	Facility		$2,344.23	$2,344.23	$2,344.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $2,344.23	Professional		$2,344.23	$2,344.23	$2,344.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $5,011.87	Facility		$2,137.96	$2,137.96	$5,011.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $3,801.89	Professional		$1,548.82	$1,548.82	$3,801.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,818.38 / $5,128.61	Professional		$1,995.26	$2,818.38	$5,128.61
United Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,949.84 / $2,187.76	Facility		$1,071.52	$1,949.84	$2,187.76
United Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,380.38 / $2,454.71	Professional		$933.25	$1,380.38	$2,454.71