Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,294.32 / $3,294.32 / $9,331.62	Facility		$3,294.32	$3,294.32	$9,331.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,294.32 / $4,221.18 / $5,270.91	Professional		$3,294.32	$4,221.18	$5,270.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,252.85 / $6,575.49 / $12,624.94	Professional		$4,252.85	$6,575.49	$12,624.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6,525.45 / $6,721.94 / $14,630.10	Facility		$6,525.45	$6,721.94	$14,630.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6,721.94 / $6,721.94 / $6,721.94	Professional		$6,721.94	$6,721.94	$6,721.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,391.66 / $4,391.66 / $4,391.66	Facility		$4,391.66	$4,391.66	$4,391.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,732.91 / $3,732.91 / $9,118.50	Professional		$3,732.91	$3,732.91	$9,118.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6,010.20 / $7,908.16 / $13,195.00	Professional		$6,010.20	$7,908.16	$13,195.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,745.41 / $3,945.29 / $6,509.03	Professional		$2,745.41	$3,945.29	$6,509.03