Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,594.72 / $1,594.72 / $4,517.25	Facility		$1,594.72	$1,594.72	$4,517.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,594.72 / $2,042.88 / $2,551.54	Professional		$1,594.72	$2,042.88	$2,551.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,828.18 / $5,359.45 / $14,049.42	Facility		$3,828.18	$5,359.45	$14,049.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,020.73 / $3,183.06 / $6,111.48	Professional		$2,020.73	$3,183.06	$6,111.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,158.84 / $3,253.95 / $7,082.13	Facility		$3,158.84	$3,253.95	$7,082.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,253.95 / $3,253.95 / $3,253.95	Professional		$3,253.95	$3,253.95	$3,253.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,463.07 / $2,463.07 / $2,463.07	Facility		$2,463.07	$2,463.07	$2,463.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,798.04 / $2,410.14 / $4,414.13	Professional		$1,798.04	$2,410.14	$4,414.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,909.42 / $3,828.18 / $6,179.59	Professional		$2,909.42	$3,828.18	$6,179.59
United Facility/Professional Professional Modifier Low / Median / High Price $1,273.22 / $1,909.84 / $3,150.89	Professional		$1,273.22	$1,909.84	$3,150.89