Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,644.71 / $1,644.71 / $4,658.88	Facility		$1,644.71	$1,644.71	$4,658.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,644.71 / $1,981.00 / $2,631.54	Professional		$1,644.71	$1,981.00	$2,631.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,948.20 / $5,527.48 / $14,489.89	Facility		$3,948.20	$5,527.48	$14,489.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,084.08 / $3,282.85 / $6,303.07	Professional		$2,084.08	$3,282.85	$6,303.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,257.88 / $3,355.97 / $7,304.17	Facility		$3,257.88	$3,355.97	$7,304.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,355.97 / $3,355.97 / $3,355.97	Professional		$3,355.97	$3,355.97	$3,355.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,540.30 / $2,540.30 / $2,540.30	Facility		$2,540.30	$2,540.30	$2,540.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,854.42 / $2,485.69 / $4,552.50	Professional		$1,854.42	$2,485.69	$4,552.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,000.63 / $3,948.20 / $6,373.67	Professional		$3,000.63	$3,948.20	$6,373.67
United Facility/Professional Professional Modifier Low / Median / High Price $1,313.14 / $1,969.71 / $3,249.68	Professional		$1,313.14	$1,969.71	$3,249.68