Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $4,365.16	Facility		$1,479.11	$1,479.11	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,778.28 / $3,019.95	Professional		$1,479.11	$1,778.28	$3,019.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $8,511.38 / $13,182.57	Facility		$3,630.78	$8,511.38	$13,182.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,951.21 / $4,466.84	Professional		$1,862.09	$2,951.21	$4,466.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $2,884.03 / $3,019.95	Facility		$1,202.26	$2,884.03	$3,019.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $2,884.03 / $3,019.95	Professional		$1,202.26	$2,884.03	$3,019.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $5,754.40	Facility		$2,884.03	$2,884.03	$5,754.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $4,168.69	Professional		$2,454.71	$2,454.71	$4,168.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $3,630.78 / $6,025.60	Professional		$2,398.83	$3,630.78	$6,025.60
United Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $1,995.26 / $2,398.83	Facility		$575.44	$1,995.26	$2,398.83
United Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,778.28 / $3,311.31	Professional		$1,174.90	$1,778.28	$3,311.31