Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,188.38 / $2,188.38 / $6,198.91	Facility		$2,188.38	$2,188.38	$6,198.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,188.38 / $3,151.27 / $4,134.35	Professional		$2,188.38	$3,151.27	$4,134.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,253.31 / $7,354.63 / $19,279.65	Facility		$5,253.31	$7,354.63	$19,279.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,800.71 / $4,368.03 / $8,386.62	Professional		$2,800.71	$4,368.03	$8,386.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,465.31 / $5,181.54 / $9,718.62	Facility		$4,465.31	$5,181.54	$9,718.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4,465.31 / $4,465.31 / $4,465.31	Professional		$4,465.31	$4,465.31	$4,465.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,943.38 / $3,943.38 / $3,943.38	Facility		$3,943.38	$3,943.38	$3,943.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,878.67 / $3,858.65 / $7,019.33	Professional		$2,878.67	$3,858.65	$7,019.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,992.52 / $5,253.31 / $9,545.04	Professional		$3,992.52	$5,253.31	$9,545.04
United Facility/Professional Professional Modifier Low / Median / High Price $1,747.21 / $2,620.82 / $4,368.03	Professional		$1,747.21	$2,620.82	$4,368.03