Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $4,677.35	Facility		$1,584.89	$1,584.89	$4,677.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,905.46 / $3,235.94	Professional		$1,584.89	$1,905.46	$3,235.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $9,332.54 / $14,454.40	Facility		$3,890.45	$9,332.54	$14,454.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $3,162.28 / $4,897.79	Professional		$2,041.74	$3,162.28	$4,897.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $3,235.94	Facility		$3,235.94	$3,235.94	$3,235.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $3,235.94	Professional		$3,235.94	$3,235.94	$3,235.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $6,025.60	Facility		$2,454.71	$2,454.71	$6,025.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $4,365.16	Professional		$1,778.28	$1,778.28	$4,365.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $3,890.45 / $6,309.57	Professional		$2,511.89	$3,890.45	$6,309.57
United Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $2,570.40 / $2,691.53	Facility		$1,318.26	$2,570.40	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,905.46 / $3,715.35	Professional		$1,258.93	$1,905.46	$3,715.35