Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,853.77 / $1,853.77 / $5,251.06	Facility		$1,853.77	$1,853.77	$5,251.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,853.77 / $2,333.08 / $2,966.02	Professional		$1,853.77	$2,333.08	$2,966.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,450.05 / $6,230.07 / $16,331.68	Facility		$4,450.05	$6,230.07	$16,331.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,355.02 / $3,700.13 / $7,104.25	Professional		$2,355.02	$3,700.13	$7,104.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,543.35 / $3,678.47 / $6,897.58	Facility		$1,543.35	$3,678.47	$6,897.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,513.00 / $3,593.38 / $3,782.54	Professional		$1,513.00	$3,593.38	$3,782.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,600.52 / $3,600.52 / $3,600.52	Facility		$3,600.52	$3,600.52	$3,600.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,060.44 / $3,060.44 / $5,262.38	Professional		$3,060.44	$3,060.44	$5,262.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,382.04 / $4,450.05 / $7,361.13	Professional		$3,382.04	$4,450.05	$7,361.13
United Facility/Professional Professional Modifier Low / Median / High Price $1,480.05 / $2,220.08 / $3,662.74	Professional		$1,480.05	$2,220.08	$3,662.74