Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,110.58 / $1,110.58 / $3,145.90	Facility		$1,110.58	$1,110.58	$3,145.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,110.58 / $1,362.48 / $1,776.94	Professional		$1,110.58	$1,362.48	$1,776.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,666.02 / $3,732.43 / $9,784.29	Facility		$2,666.02	$3,732.43	$9,784.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,374.68 / $2,216.75 / $4,256.16	Professional		$1,374.68	$2,216.75	$4,256.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,989.65 / $2,295.71 / $4,932.14	Facility		$1,989.65	$2,295.71	$4,932.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,266.12 / $2,266.12 / $2,266.12	Professional		$2,266.12	$2,266.12	$2,266.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,747.16 / $1,747.16 / $1,747.16	Facility		$1,747.16	$1,747.16	$1,747.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,275.43 / $1,709.61 / $3,020.64	Professional		$1,275.43	$1,709.61	$3,020.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,026.18 / $2,666.02 / $4,230.88	Professional		$2,026.18	$2,666.02	$4,230.88
United Facility/Professional Professional Modifier Low / Median / High Price $886.70 / $1,330.05 / $2,194.33	Professional		$886.70	$1,330.05	$2,194.33