Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,904.18 / $1,904.18 / $5,393.86	Facility		$1,904.18	$1,904.18	$5,393.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,904.18 / $2,439.35 / $3,046.69	Professional		$1,904.18	$2,439.35	$3,046.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,571.07 / $6,399.50 / $16,775.83	Facility		$4,571.07	$6,399.50	$16,775.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,508.50 / $3,800.76 / $7,297.46	Professional		$2,508.50	$3,800.76	$7,297.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,771.89 / $3,885.41 / $8,456.48	Facility		$3,771.89	$3,885.41	$8,456.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,885.41 / $3,885.41 / $3,885.41	Professional		$3,885.41	$3,885.41	$3,885.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,941.06 / $2,941.06 / $2,941.06	Facility		$2,941.06	$2,941.06	$2,941.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,146.96 / $2,146.96 / $5,270.63	Professional		$2,146.96	$2,146.96	$5,270.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,474.01 / $4,571.07 / $9,896.00	Professional		$3,474.01	$4,571.07	$9,896.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,586.52 / $2,280.46 / $3,762.37	Professional		$1,586.52	$2,280.46	$3,762.37