Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,386.10 / $1,386.10 / $3,926.31	Facility		$1,386.10	$1,386.10	$3,926.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,386.10 / $1,896.54 / $2,529.48	Professional		$1,386.10	$1,896.54	$2,529.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,327.38 / $4,658.33 / $12,211.48	Facility		$3,327.38	$4,658.33	$12,211.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,773.94 / $2,766.66 / $5,311.99	Professional		$1,773.94	$2,766.66	$5,311.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,828.27 / $3,186.54 / $6,155.65	Facility		$2,828.27	$3,186.54	$6,155.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,828.27 / $2,828.27 / $2,828.27	Professional		$2,828.27	$2,828.27	$2,828.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,425.11 / $2,425.11 / $2,425.11	Facility		$2,425.11	$2,425.11	$2,425.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,770.33 / $2,373.00 / $4,219.58	Professional		$1,770.33	$2,373.00	$4,219.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,528.81 / $3,327.38 / $5,737.06	Professional		$2,528.81	$3,327.38	$5,737.06
United Facility/Professional Professional Modifier Low / Median / High Price $1,233.49 / $1,660.00 / $2,738.71	Professional		$1,233.49	$1,660.00	$2,738.71