Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,791.00 / $5,063.00 / $7,421.00	Facility		$1,791.00	$5,063.00	$7,421.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,083.33 / $1,226.64 / $2,692.90	Professional		$1,083.33	$1,226.64	$2,692.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,135.89 / $2,987.00 / $6,315.83	Facility		$1,135.89	$2,987.00	$6,315.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,038.51 / $1,350.75 / $2,711.45	Professional		$1,038.51	$1,350.75	$2,711.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,180.25 / $2,377.52 / $3,086.43	Facility		$2,180.25	$2,377.52	$3,086.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,022.90 / $1,336.84 / $2,471.36	Professional		$1,022.90	$1,336.84	$2,471.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,493.45 / $1,561.33 / $3,480.42	Professional		$1,493.45	$1,561.33	$3,480.42
United Facility/Professional Facility Modifier Low / Median / High Price $1,519.00 / $6,689.00 / $8,836.00	Facility		$1,519.00	$6,689.00	$8,836.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,054.39 / $1,603.95 / $3,200.38	Professional		$1,054.39	$1,603.95	$3,200.38