Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,264.41 / $1,264.41 / $3,581.62	Facility		$1,264.41	$1,264.41	$3,581.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,264.41 / $1,619.76 / $2,023.06	Professional		$1,264.41	$1,619.76	$2,023.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,035.27 / $4,249.38 / $11,139.44	Facility		$3,035.27	$4,249.38	$11,139.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,602.19 / $2,523.77 / $4,845.64	Professional		$1,602.19	$2,523.77	$4,845.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,504.58 / $2,579.98 / $5,615.25	Facility		$2,504.58	$2,579.98	$5,615.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,579.98 / $2,579.98 / $2,579.98	Professional		$2,579.98	$2,579.98	$2,579.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,952.91 / $1,952.91 / $1,952.91	Facility		$1,952.91	$1,952.91	$1,952.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,425.62 / $1,910.94 / $3,499.88	Professional		$1,425.62	$1,910.94	$3,499.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,306.81 / $3,035.27 / $4,899.95	Professional		$2,306.81	$3,035.27	$4,899.95
United Facility/Professional Professional Modifier Low / Median / High Price $1,127.68 / $1,514.26 / $2,626.32	Professional		$1,127.68	$1,514.26	$2,626.32