Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,285.26 / $1,285.26 / $3,640.67	Facility		$1,285.26	$1,285.26	$3,640.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,285.26 / $1,825.06 / $2,056.41	Professional		$1,285.26	$1,825.06	$2,056.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,085.31 / $4,319.43 / $11,323.09	Facility		$3,085.31	$4,319.43	$11,323.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,644.88 / $2,565.38 / $4,925.53	Professional		$1,644.88	$2,565.38	$4,925.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,197.03 / $2,842.97 / $4,782.22	Facility		$1,197.03	$2,842.97	$4,782.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,049.02 / $2,491.38 / $2,622.51	Professional		$1,049.02	$2,491.38	$2,622.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,253.75 / $2,253.75 / $2,253.75	Facility		$2,253.75	$2,253.75	$2,253.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,915.69 / $1,915.69 / $3,944.04	Professional		$1,915.69	$1,915.69	$3,944.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,344.84 / $3,085.31 / $5,362.75	Professional		$2,344.84	$3,085.31	$5,362.75
United Facility/Professional Professional Modifier Low / Median / High Price $1,026.15 / $1,539.23 / $2,539.44	Professional		$1,026.15	$1,539.23	$2,539.44