Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,052.38 / $2,052.38 / $5,813.64	Facility		$2,052.38	$2,052.38	$5,813.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,052.38 / $2,583.04 / $3,283.80	Professional		$2,052.38	$2,583.04	$3,283.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,926.81 / $6,897.53 / $18,081.39	Facility		$4,926.81	$6,897.53	$18,081.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,595.21 / $4,096.56 / $7,865.40	Professional		$2,595.21	$4,096.56	$7,865.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,708.68 / $4,072.55 / $7,636.56	Facility		$1,708.68	$4,072.55	$7,636.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,675.15 / $3,978.43 / $4,187.79	Professional		$1,675.15	$3,978.43	$4,187.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,802.84 / $2,802.84 / $2,802.84	Facility		$2,802.84	$2,802.84	$2,802.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,382.41 / $2,382.41 / $5,826.00	Professional		$2,382.41	$2,382.41	$5,826.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,744.38 / $4,926.81 / $8,150.24	Professional		$3,744.38	$4,926.81	$8,150.24
United Facility/Professional Professional Modifier Low / Median / High Price $1,638.62 / $2,457.94 / $4,096.56	Professional		$1,638.62	$2,457.94	$4,096.56