Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,160.17 / $1,160.17 / $3,286.35	Facility		$1,160.17	$1,160.17	$3,286.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,160.17 / $1,647.44 / $2,019.35	Professional		$1,160.17	$1,647.44	$2,019.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,785.04 / $3,899.06 / $10,221.10	Facility		$2,785.04	$3,899.06	$10,221.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,484.79 / $2,315.71 / $4,446.16	Professional		$1,484.79	$2,315.71	$4,446.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,367.28 / $2,792.22 / $5,152.32	Facility		$2,367.28	$2,792.22	$5,152.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,367.28 / $2,367.28 / $2,367.28	Professional		$2,367.28	$2,367.28	$2,367.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,125.02 / $2,125.02 / $2,125.02	Facility		$2,125.02	$2,125.02	$2,125.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,551.26 / $2,079.36 / $3,794.62	Professional		$1,551.26	$2,079.36	$3,794.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,116.63 / $2,785.04 / $5,059.91	Professional		$2,116.63	$2,785.04	$5,059.91
United Facility/Professional Professional Modifier Low / Median / High Price $926.28 / $1,389.43 / $2,292.31	Professional		$926.28	$1,389.43	$2,292.31