Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,761.29 / $1,761.29 / $4,989.07	Facility		$1,761.29	$1,761.29	$4,989.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,673.77 / $2,501.02 / $3,312.50	Professional		$1,673.77	$2,501.02	$3,312.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,228.03 / $5,919.24 / $15,516.87	Facility		$4,228.03	$5,919.24	$15,516.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,324.80 / $3,515.54 / $6,749.84	Professional		$2,324.80	$3,515.54	$6,749.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,280.56 / $4,332.71 / $7,821.86	Facility		$3,280.56	$4,332.71	$7,821.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,593.83 / $3,593.83 / $3,593.83	Professional		$3,593.83	$3,593.83	$3,593.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,297.39 / $3,297.39 / $3,297.39	Facility		$3,297.39	$3,297.39	$3,297.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,407.09 / $2,407.09 / $5,108.47	Professional		$2,407.09	$2,407.09	$5,108.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,213.30 / $4,228.03 / $11,275.00	Professional		$3,213.30	$4,228.03	$11,275.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,406.22 / $2,109.32 / $3,480.02	Professional		$1,406.22	$2,109.32	$3,480.02