Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $5,128.61	Facility		$1,778.28	$1,778.28	$5,128.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,290.87 / $3,890.45	Professional		$1,737.80	$2,290.87	$3,890.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $10,232.93 / $15,848.93	Facility		$4,265.80	$10,232.93	$15,848.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $3,548.13 / $5,248.07	Professional		$2,344.23	$3,548.13	$5,248.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $3,630.78	Facility		$3,630.78	$3,630.78	$3,630.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $3,630.78	Professional		$3,630.78	$3,630.78	$3,630.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $3,311.31 / $6,760.83	Facility		$3,311.31	$3,311.31	$6,760.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $5,128.61	Professional		$2,398.83	$2,398.83	$5,128.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $4,265.80 / $10,715.19	Professional		$2,884.03	$4,265.80	$10,715.19
United Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $2,884.03 / $3,019.95	Facility		$1,479.11	$2,884.03	$3,019.95
United Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,089.30 / $4,168.69	Professional		$1,412.54	$2,089.30	$4,168.69