Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,755.45 / $1,755.45 / $4,972.54	Facility		$1,755.45	$1,755.45	$4,972.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,755.45 / $2,492.73 / $2,943.01	Professional		$1,755.45	$2,492.73	$2,943.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,214.02 / $5,899.63 / $15,465.45	Facility		$4,214.02	$5,899.63	$15,465.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,246.63 / $3,503.88 / $6,727.45	Professional		$2,246.63	$3,503.88	$6,727.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,581.92 / $3,834.61 / $7,795.94	Facility		$3,581.92	$3,834.61	$7,795.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,581.92 / $3,581.92 / $3,581.92	Professional		$3,581.92	$3,581.92	$3,581.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,741.63 / $2,741.63 / $2,741.63	Facility		$2,741.63	$2,741.63	$2,741.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,001.39 / $2,001.39 / $5,230.13	Professional		$2,001.39	$2,001.39	$5,230.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,202.66 / $4,214.02 / $10,940.00	Professional		$3,202.66	$4,214.02	$10,940.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,751.94 / $2,167.75 / $4,115.25	Professional		$1,751.94	$2,167.75	$4,115.25