Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,621.58 / $1,621.58 / $4,593.33	Facility		$1,621.58	$1,621.58	$4,593.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,621.58 / $2,224.32 / $2,772.56	Professional		$1,621.58	$2,224.32	$2,772.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,892.65 / $5,449.71 / $14,286.03	Facility		$3,892.65	$5,449.71	$14,286.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,075.30 / $3,236.68 / $6,214.43	Professional		$2,075.30	$3,236.68	$6,214.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,147.95 / $3,583.54 / $7,201.40	Facility		$3,147.95	$3,583.54	$7,201.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,308.75 / $3,308.75 / $3,308.75	Professional		$3,308.75	$3,308.75	$3,308.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,970.85 / $2,970.85 / $2,970.85	Facility		$2,970.85	$2,970.85	$2,970.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,168.71 / $2,668.63 / $4,887.38	Professional		$2,168.71	$2,668.63	$4,887.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,958.41 / $3,892.65 / $6,728.77	Professional		$2,958.41	$3,892.65	$6,728.77
United Facility/Professional Professional Modifier Low / Median / High Price $1,668.24 / $1,942.01 / $4,215.93	Professional		$1,668.24	$1,942.01	$4,215.93