Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,707.87 / $2,707.87 / $7,670.42	Facility		$2,707.87	$2,707.87	$7,670.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,707.87 / $3,845.18 / $4,713.08	Professional		$2,707.87	$3,845.18	$4,713.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,500.36 / $9,100.50 / $23,856.32	Facility		$6,500.36	$9,100.50	$23,856.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,465.55 / $5,404.93 / $10,377.46	Professional		$3,465.55	$5,404.93	$10,377.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5,525.31 / $6,251.20 / $12,025.67	Facility		$5,525.31	$6,251.20	$12,025.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5,525.31 / $5,525.31 / $5,525.31	Professional		$5,525.31	$5,525.31	$5,525.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,423.18 / $4,423.18 / $4,423.18	Facility		$4,423.18	$4,423.18	$4,423.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,228.92 / $3,228.92 / $7,926.75	Professional		$3,228.92	$3,228.92	$7,926.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,940.27 / $6,500.36 / $14,205.00	Professional		$4,940.27	$6,500.36	$14,205.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,161.96 / $3,242.96 / $5,404.93	Professional		$2,161.96	$3,242.96	$5,404.93