Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,653.28 / $2,653.28 / $7,515.79	Facility		$2,653.28	$2,653.28	$7,515.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,653.28 / $3,438.30 / $4,245.25	Professional		$2,653.28	$3,438.30	$4,245.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,369.31 / $8,917.03 / $23,375.37	Facility		$6,369.31	$8,917.03	$23,375.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,350.61 / $5,295.97 / $10,168.26	Professional		$3,350.61	$5,295.97	$10,168.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5,277.53 / $5,529.68 / $11,783.22	Facility		$5,277.53	$5,529.68	$11,783.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5,413.91 / $5,413.91 / $5,413.91	Professional		$5,413.91	$5,413.91	$5,413.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,799.01 / $3,799.01 / $3,799.01	Facility		$3,799.01	$3,799.01	$3,799.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,229.16 / $3,229.16 / $7,542.00	Professional		$3,229.16	$3,229.16	$7,542.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,840.68 / $6,369.31 / $10,082.00	Professional		$4,840.68	$6,369.31	$10,082.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,236.23 / $3,177.58 / $5,242.45	Professional		$2,236.23	$3,177.58	$5,242.45