Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,568.00 / $1,568.00 / $8,222.04	Facility		$1,568.00	$1,568.00	$8,222.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,568.00 / $2,008.64 / $2,508.79	Professional		$1,568.00	$2,008.64	$2,508.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,764.05 / $5,269.67 / $13,814.06	Facility		$3,764.05	$5,269.67	$13,814.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,023.71 / $3,129.73 / $6,009.08	Professional		$2,023.71	$3,129.73	$6,009.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,105.89 / $3,199.44 / $6,963.49	Facility		$3,105.89	$3,199.44	$6,963.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,199.44 / $3,199.44 / $3,199.44	Professional		$3,199.44	$3,199.44	$3,199.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,264.80 / $2,264.80 / $2,264.80	Facility		$2,264.80	$2,264.80	$2,264.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,653.30 / $2,264.80 / $4,340.25	Professional		$1,653.30	$2,264.80	$4,340.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,860.68 / $3,764.05 / $6,076.15	Professional		$2,860.68	$3,764.05	$6,076.15
United Facility/Professional Professional Modifier Low / Median / High Price $1,306.40 / $1,877.84 / $3,098.09	Professional		$1,306.40	$1,877.84	$3,098.09