Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $5,623.41	Facility		$1,905.46	$1,905.46	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,238.72 / $3,801.89	Professional		$1,905.46	$2,238.72	$3,801.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $10,964.78 / $16,982.44	Facility		$4,677.35	$10,964.78	$16,982.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $3,801.89 / $5,754.40	Professional		$2,754.23	$3,801.89	$5,754.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $3,890.45 / $3,890.45	Facility		$3,890.45	$3,890.45	$3,890.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $3,890.45 / $3,890.45	Professional		$3,890.45	$3,890.45	$3,890.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $2,951.21 / $7,244.36	Facility		$2,951.21	$2,951.21	$7,244.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $3,235.94	Professional		$2,137.96	$2,137.96	$3,235.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $4,677.35 / $9,332.54	Professional		$3,019.95	$4,677.35	$9,332.54
United Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $3,019.95 / $3,235.94	Facility		$1,548.82	$3,019.95	$3,235.94
United Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,290.87 / $4,466.84	Professional		$1,513.56	$2,290.87	$4,466.84