Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,324.12 / $1,324.12 / $3,750.76	Facility		$1,324.12	$1,324.12	$3,750.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,324.12 / $1,666.49 / $2,118.59	Professional		$1,324.12	$1,666.49	$2,118.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,178.61 / $4,450.05 / $11,665.50	Facility		$3,178.61	$4,450.05	$11,665.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,674.34 / $2,642.95 / $5,074.46	Professional		$1,674.34	$2,642.95	$5,074.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,102.41 / $2,627.45 / $4,926.85	Facility		$1,102.41	$2,627.45	$4,926.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,080.70 / $2,566.71 / $2,701.82	Professional		$1,080.70	$2,566.71	$2,701.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,808.29 / $1,808.29 / $1,808.29	Facility		$1,808.29	$1,808.29	$1,808.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,537.05 / $1,537.05 / $3,866.97	Professional		$1,537.05	$1,537.05	$3,866.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,415.73 / $3,178.61 / $5,258.26	Professional		$2,415.73	$3,178.61	$5,258.26
United Facility/Professional Professional Modifier Low / Median / High Price $1,057.18 / $1,585.77 / $2,616.23	Professional		$1,057.18	$1,585.77	$2,616.23