Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,655.15 / $1,655.15 / $4,688.42	Facility		$1,655.15	$1,655.15	$4,688.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,655.15 / $2,083.09 / $2,648.23	Professional		$1,655.15	$2,083.09	$2,648.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,973.24 / $5,562.54 / $14,581.79	Facility		$3,973.24	$5,562.54	$14,581.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,092.92 / $3,303.68 / $6,343.07	Professional		$2,092.92	$3,303.68	$6,343.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,377.99 / $3,284.29 / $6,158.52	Facility		$1,377.99	$3,284.29	$6,158.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,350.90 / $3,208.39 / $3,377.25	Professional		$1,350.90	$3,208.39	$3,377.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,214.74 / $3,214.74 / $3,214.74	Facility		$3,214.74	$3,214.74	$3,214.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,732.53 / $2,732.53 / $4,698.38	Professional		$2,732.53	$2,732.53	$4,698.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,019.66 / $3,973.24 / $6,572.02	Professional		$3,019.66	$3,973.24	$6,572.02
United Facility/Professional Professional Modifier Low / Median / High Price $1,321.47 / $1,982.21 / $3,270.29	Professional		$1,321.47	$1,982.21	$3,270.29