Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,047.11 / $5,063.00 / $7,421.00	Facility		$2,047.11	$5,063.00	$7,421.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,046.16 / $2,317.17 / $4,162.97	Professional		$2,046.16	$2,317.17	$4,162.97
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 $2,077.36 / $2,574.77 / $5,122.21	Professional		$2,077.36	$2,574.77	$5,122.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,118.31 / $4,490.85 / $5,829.92	Facility		$4,118.31	$4,490.85	$5,829.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,931.92 / $2,524.63 / $4,668.18	Professional		$1,931.92	$2,524.63	$4,668.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,820.96 / $2,949.19 / $5,380.44	Professional		$2,820.96	$2,949.19	$5,380.44
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 $2,113.73 / $3,029.43 / $6,044.82	Professional		$2,113.73	$3,029.43	$6,044.82