Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,409.56 / $1,409.56 / $3,992.75	Facility		$1,409.56	$1,409.56	$3,992.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,409.56 / $2,001.57 / $2,349.32	Professional		$1,409.56	$2,001.57	$2,349.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,383.69 / $4,737.17 / $12,418.14	Facility		$3,383.69	$4,737.17	$12,418.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,803.95 / $2,813.48 / $5,401.88	Professional		$1,803.95	$2,813.48	$5,401.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,876.14 / $3,121.12 / $6,259.83	Facility		$2,876.14	$3,121.12	$6,259.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,876.14 / $2,876.14 / $2,876.14	Professional		$2,876.14	$2,876.14	$2,876.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,375.33 / $2,375.33 / $2,375.33	Facility		$2,375.33	$2,375.33	$2,375.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,733.99 / $2,324.27 / $4,257.00	Professional		$1,733.99	$2,324.27	$4,257.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,571.60 / $3,383.69 / $6,147.61	Professional		$2,571.60	$3,383.69	$6,147.61
United Facility/Professional Professional Modifier Low / Median / High Price $1,321.76 / $1,688.09 / $2,813.48	Professional		$1,321.76	$1,688.09	$2,813.48