Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $4,265.80	Facility		$1,445.44	$1,445.44	$4,265.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,041.74 / $3,235.94	Professional		$1,445.44	$2,041.74	$3,235.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $8,511.38 / $13,182.57	Facility		$3,548.13	$8,511.38	$13,182.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,884.03 / $4,570.88	Professional		$1,905.46	$2,884.03	$4,570.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $2,951.21 / $2,951.21	Facility		$2,951.21	$2,951.21	$2,951.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $2,951.21 / $2,951.21	Professional		$2,951.21	$2,951.21	$2,951.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $6,025.60	Facility		$2,754.23	$2,754.23	$6,025.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $4,265.80	Professional		$2,041.74	$2,041.74	$4,265.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $3,548.13 / $6,309.57	Professional		$2,511.89	$3,548.13	$6,309.57
United Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $2,344.23 / $2,691.53	Facility		$1,318.26	$2,344.23	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,737.80 / $3,388.44	Professional		$1,174.90	$1,737.80	$3,388.44