Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,435.44 / $1,435.44 / $4,066.06	Facility		$1,435.44	$1,435.44	$4,066.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,435.44 / $1,728.94 / $2,296.69	Professional		$1,435.44	$1,728.94	$2,296.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,445.81 / $4,824.13 / $12,646.12	Facility		$3,445.81	$4,824.13	$12,646.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,837.08 / $2,865.14 / $5,501.07	Professional		$1,837.08	$2,865.14	$5,501.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,843.36 / $2,928.94 / $6,374.75	Facility		$2,843.36	$2,928.94	$6,374.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,928.94 / $2,928.94 / $2,928.94	Professional		$2,928.94	$2,928.94	$2,928.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,217.07 / $2,217.07 / $2,217.07	Facility		$2,217.07	$2,217.07	$2,217.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,618.46 / $2,169.42 / $3,973.13	Professional		$1,618.46	$2,169.42	$3,973.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,618.82 / $3,445.81 / $5,563.24	Professional		$2,618.82	$3,445.81	$5,563.24
United Facility/Professional Facility Modifier Low / Median / High Price $941.50 / $2,018.42 / $2,301.38	Facility		$941.50	$2,018.42	$2,301.38
United Facility/Professional Professional Modifier Low / Median / High Price $1,195.97 / $1,719.08 / $2,865.14	Professional		$1,195.97	$1,719.08	$2,865.14