Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $3,630.78	Facility		$1,230.27	$1,230.27	$3,630.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,479.11 / $2,511.89	Professional		$1,230.27	$1,479.11	$2,511.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $7,079.46 / $10,964.78	Facility		$3,019.95	$7,079.46	$10,964.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,454.71 / $3,715.35	Professional		$1,548.82	$2,454.71	$3,715.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,344.23 / $2,511.89	Facility		$1,000.00	$2,344.23	$2,511.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $2,344.23 / $2,511.89	Professional		$1,000.00	$2,344.23	$2,511.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $4,786.30	Facility		$2,398.83	$2,398.83	$4,786.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $3,467.37	Professional		$1,995.26	$1,995.26	$3,467.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $3,019.95 / $5,011.87	Professional		$1,995.26	$3,019.95	$5,011.87
United Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $1,659.59 / $1,995.26	Facility		$478.63	$1,659.59	$1,995.26
United Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,479.11 / $2,754.23	Professional		$977.24	$1,479.11	$2,754.23