Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,720.49 / $1,720.49 / $4,873.53	Facility		$1,720.49	$1,720.49	$4,873.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,720.49 / $2,443.10 / $2,752.78	Professional		$1,720.49	$2,443.10	$2,752.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,130.10 / $5,782.15 / $15,157.50	Facility		$4,130.10	$5,782.15	$15,157.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,201.89 / $3,434.11 / $6,593.49	Professional		$2,201.89	$3,434.11	$6,593.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,510.59 / $3,747.96 / $7,640.70	Facility		$3,510.59	$3,747.96	$7,640.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,510.59 / $3,510.59 / $3,510.59	Professional		$3,510.59	$3,510.59	$3,510.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,148.57 / $3,148.57 / $3,148.57	Facility		$3,148.57	$3,148.57	$3,148.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,298.46 / $2,298.46 / $5,111.63	Professional		$2,298.46	$2,298.46	$5,111.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,138.88 / $4,130.10 / $9,812.00	Professional		$3,138.88	$4,130.10	$9,812.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,373.64 / $2,060.46 / $3,434.11	Professional		$1,373.64	$2,060.46	$3,434.11