Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,596.31 / $1,596.31 / $18,352.71	Facility		$1,596.31	$1,596.31	$18,352.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,596.31 / $2,176.63 / $2,605.86	Professional		$1,596.31	$2,176.63	$2,605.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,832.00 / $5,364.80 / $14,063.44	Facility		$3,832.00	$5,364.80	$14,063.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,716.41 / $3,395.51 / $6,265.27	Professional		$2,716.41	$3,395.51	$6,265.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,161.97 / $3,257.20 / $7,089.20	Facility		$3,161.97	$3,257.20	$7,089.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,257.20 / $3,257.20 / $3,257.20	Professional		$3,257.20	$3,257.20	$3,257.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,381.07 / $2,381.07 / $2,381.07	Facility		$2,381.07	$2,381.07	$2,381.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,738.18 / $2,381.07 / $4,418.63	Professional		$1,738.18	$2,381.07	$4,418.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,912.32 / $3,832.00 / $5,911.00	Professional		$2,912.32	$3,832.00	$5,911.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,274.50 / $1,914.86 / $3,387.83	Professional		$1,274.50	$1,914.86	$3,387.83