Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,022.56 / $5,045.00 / $7,631.00	Facility		$1,022.56	$5,045.00	$7,631.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $875.81 / $1,073.58 / $2,208.36	Professional		$875.81	$1,073.58	$2,208.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,538.99 / $5,012.33 / $10,649.67	Facility		$1,538.99	$5,012.33	$10,649.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $896.69 / $1,400.14 / $2,559.25	Professional		$896.69	$1,400.14	$2,559.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,604.84 / $1,888.05 / $2,201.13	Facility		$1,604.84	$1,888.05	$2,201.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,062.19 / $1,601.19 / $2,575.82	Professional		$1,062.19	$1,601.19	$2,575.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $977.03 / $1,243.49 / $2,176.33	Professional		$977.03	$1,243.49	$2,176.33
United Facility/Professional Facility Modifier Low / Median / High Price $1,036.00 / $3,629.00 / $10,000.00	Facility		$1,036.00	$3,629.00	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $957.60 / $1,381.81 / $2,423.63	Professional		$957.60	$1,381.81	$2,423.63