Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,405.30 / $8,938.06 / $38,631.44	Facility		$2,405.30	$8,938.06	$38,631.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,405.30 / $3,082.05 / $3,848.48	Professional		$2,405.30	$3,082.05	$3,848.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,096.92 / $4,801.00 / $9,217.92	Professional		$3,096.92	$4,801.00	$9,217.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,764.47 / $4,907.93 / $10,681.96	Facility		$4,764.47	$4,907.93	$10,681.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4,907.93 / $4,907.93 / $4,907.93	Professional		$4,907.93	$4,907.93	$4,907.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,536.46 / $4,536.46 / $4,536.46	Facility		$4,536.46	$4,536.46	$4,536.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,855.99 / $4,117.16 / $6,657.75	Professional		$3,855.99	$4,117.16	$6,657.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,388.26 / $5,774.03 / $12,366.00	Professional		$4,388.26	$5,774.03	$12,366.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,920.40 / $2,880.60 / $4,752.47	Professional		$1,920.40	$2,880.60	$4,752.47