Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,186.74 / $1,186.74 / $3,361.60	Facility		$1,186.74	$1,186.74	$3,361.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,186.74 / $1,529.05 / $1,898.78	Professional		$1,186.74	$1,529.05	$1,898.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,848.81 / $3,988.33 / $10,455.12	Facility		$2,848.81	$3,988.33	$10,455.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,493.92 / $2,368.73 / $4,547.96	Professional		$1,493.92	$2,368.73	$4,547.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,274.42 / $2,576.39 / $5,270.30	Facility		$2,274.42	$2,576.39	$5,270.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,421.48 / $2,421.48 / $2,421.48	Professional		$2,421.48	$2,421.48	$2,421.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,960.76 / $1,960.76 / $1,960.76	Facility		$1,960.76	$1,960.76	$1,960.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,431.35 / $1,918.61 / $3,282.74	Professional		$1,431.35	$1,918.61	$3,282.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,165.10 / $2,848.81 / $4,558.10	Professional		$2,165.10	$2,848.81	$4,558.10
United Facility/Professional Professional Modifier Low / Median / High Price $1,027.24 / $1,421.24 / $2,782.04	Professional		$1,027.24	$1,421.24	$2,782.04