Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,025.17 / $1,025.17 / $2,903.94	Facility		$1,025.17	$1,025.17	$2,903.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,025.17 / $1,234.77 / $1,640.27	Professional		$1,025.17	$1,234.77	$1,640.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,460.96 / $3,445.36 / $9,031.76	Facility		$2,460.96	$3,445.36	$9,031.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,294.60 / $1,982.40 / $4,386.00	Professional		$1,294.60	$1,982.40	$4,386.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,030.68 / $2,091.82 / $4,552.79	Facility		$2,030.68	$2,091.82	$4,552.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,091.82 / $2,091.82 / $2,091.82	Professional		$2,091.82	$2,091.82	$2,091.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,366.32 / $1,366.32 / $1,366.32	Facility		$1,366.32	$1,366.32	$1,366.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $997.41 / $997.41 / $2,597.00	Professional		$997.41	$997.41	$2,597.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,870.34 / $2,460.96 / $4,482.00	Professional		$1,870.34	$2,460.96	$4,482.00
United Facility/Professional Professional Modifier Low / Median / High Price $818.50 / $1,227.75 / $2,126.84	Professional		$818.50	$1,227.75	$2,126.84