Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,512.82 / $5,063.00 / $7,631.00	Facility		$2,512.82	$5,063.00	$7,631.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,287.16 / $2,589.73 / $6,900.55	Professional		$2,287.16	$2,589.73	$6,900.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,185.65 / $3,272.95 / $6,315.83	Facility		$1,185.65	$3,272.95	$6,315.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,321.78 / $2,877.33 / $5,724.35	Professional		$2,321.78	$2,877.33	$5,724.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,602.80 / $5,019.20 / $6,515.79	Facility		$4,602.80	$5,019.20	$6,515.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,159.40 / $2,821.95 / $5,217.24	Professional		$2,159.40	$2,821.95	$5,217.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,152.84 / $3,296.15 / $8,918.59	Professional		$3,152.84	$3,296.15	$8,918.59
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 $2,362.19 / $3,409.91 / $6,754.89	Professional		$2,362.19	$3,409.91	$6,754.89