Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,222.17 / $1,222.17 / $3,461.94	Facility		$1,222.17	$1,222.17	$3,461.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,222.17 / $1,538.28 / $1,955.46	Professional		$1,222.17	$1,538.28	$1,955.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,933.85 / $4,107.39 / $10,767.23	Facility		$2,933.85	$4,107.39	$10,767.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,545.41 / $2,439.44 / $4,683.74	Professional		$1,545.41	$2,439.44	$4,683.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,017.58 / $2,425.11 / $4,547.47	Facility		$1,017.58	$2,425.11	$4,547.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $997.51 / $2,369.09 / $2,493.77	Professional		$997.51	$2,369.09	$2,493.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,373.71 / $2,373.71 / $2,373.71	Facility		$2,373.71	$2,373.71	$2,373.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,017.65 / $2,017.65 / $3,469.50	Professional		$2,017.65	$2,017.65	$3,469.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,229.73 / $2,933.85 / $4,853.03	Professional		$2,229.73	$2,933.85	$4,853.03
United Facility/Professional Professional Modifier Low / Median / High Price $975.78 / $1,463.67 / $2,439.44	Professional		$975.78	$1,463.67	$2,439.44