Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,156.49 / $1,156.49 / $3,275.90	Facility		$1,156.49	$1,156.49	$3,275.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,156.49 / $1,392.96 / $1,850.38	Professional		$1,156.49	$1,392.96	$1,850.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,776.19 / $3,886.67 / $10,188.62	Facility		$2,776.19	$3,886.67	$10,188.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,487.71 / $2,308.35 / $4,432.03	Professional		$1,487.71	$2,308.35	$4,432.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,290.82 / $2,359.76 / $5,135.95	Facility		$2,290.82	$2,359.76	$5,135.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,359.76 / $2,359.76 / $2,359.76	Professional		$2,359.76	$2,359.76	$2,359.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,786.24 / $1,786.24 / $1,786.24	Facility		$1,786.24	$1,786.24	$1,786.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,303.96 / $1,303.96 / $3,201.00	Professional		$1,303.96	$1,303.96	$3,201.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,109.90 / $2,776.19 / $5,947.00	Professional		$2,109.90	$2,776.19	$5,947.00
United Facility/Professional Professional Modifier Low / Median / High Price $963.56 / $1,385.01 / $2,285.03	Professional		$963.56	$1,385.01	$2,285.03