Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,067.07 / $2,067.07 / $5,855.27	Facility		$2,067.07	$2,067.07	$5,855.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,067.07 / $2,648.01 / $3,307.31	Professional		$2,067.07	$2,648.01	$3,307.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,962.09 / $6,946.93 / $18,210.87	Facility		$4,962.09	$6,946.93	$18,210.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,667.87 / $4,125.89 / $7,921.71	Professional		$2,667.87	$4,125.89	$7,921.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,094.53 / $4,217.78 / $9,179.87	Facility		$4,094.53	$4,217.78	$9,179.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4,217.78 / $4,217.78 / $4,217.78	Professional		$4,217.78	$4,217.78	$4,217.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,801.20 / $2,801.20 / $2,801.20	Facility		$2,801.20	$2,801.20	$2,801.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,044.88 / $2,044.88 / $5,891.19	Professional		$2,044.88	$2,044.88	$5,891.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,771.19 / $4,962.09 / $8,010.54	Professional		$3,771.19	$4,962.09	$8,010.54
United Facility/Professional Professional Modifier Low / Median / High Price $1,650.36 / $2,475.53 / $4,084.20	Professional		$1,650.36	$2,475.53	$4,084.20