Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,130.47 / $1,130.47 / $3,202.21	Facility		$1,130.47	$1,130.47	$3,202.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,130.47 / $1,425.38 / $1,808.75	Professional		$1,130.47	$1,425.38	$1,808.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,425.38 / $2,256.42 / $4,332.35	Professional		$1,425.38	$2,256.42	$4,332.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,174.23 / $2,306.67 / $5,020.42	Facility		$2,174.23	$2,306.67	$5,020.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,306.67 / $2,306.67 / $2,306.67	Professional		$2,306.67	$2,306.67	$2,306.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,482.94 / $1,482.94 / $1,482.94	Facility		$1,482.94	$1,482.94	$1,482.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,260.50 / $1,260.50 / $3,078.75	Professional		$1,260.50	$1,260.50	$3,078.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,062.44 / $2,713.74 / $4,341.97	Professional		$2,062.44	$2,713.74	$4,341.97
United Facility/Professional Professional Modifier Low / Median / High Price $986.66 / $1,353.86 / $2,233.62	Professional		$986.66	$1,353.86	$2,233.62