Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $5,754.40	Facility		$1,949.84	$1,949.84	$5,754.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,630.27 / $4,365.16	Professional		$1,949.84	$2,630.27	$4,365.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $11,220.18 / $17,378.01	Facility		$4,786.30	$11,220.18	$17,378.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $3,890.45 / $6,165.95	Professional		$2,511.89	$3,890.45	$6,165.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $3,981.07 / $3,981.07	Facility		$3,981.07	$3,981.07	$3,981.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $3,981.07 / $3,981.07	Professional		$3,981.07	$3,981.07	$3,981.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $8,128.31	Facility		$3,548.13	$3,548.13	$8,128.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $6,309.57	Professional		$2,570.40	$2,570.40	$6,309.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $4,786.30 / $8,511.38	Professional		$3,311.31	$4,786.30	$8,511.38
United Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $3,467.37 / $3,715.35	Facility		$1,778.28	$3,467.37	$3,715.35
United Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,344.23 / $4,265.80	Professional		$1,548.82	$2,344.23	$4,265.80