Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,120.20 / $5,045.00 / $6,915.00	Facility		$1,120.20	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $970.84 / $1,143.00 / $2,302.23	Professional		$970.84	$1,143.00	$2,302.23
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 $975.01 / $1,508.04 / $2,710.91	Professional		$975.01	$1,508.04	$2,710.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,725.23 / $2,029.67 / $2,399.16	Facility		$1,725.23	$2,029.67	$2,399.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,078.48 / $1,686.20 / $2,807.54	Professional		$1,078.48	$1,686.20	$2,807.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,064.93 / $1,355.37 / $2,395.92	Professional		$1,064.93	$1,355.37	$2,395.92
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 $1,028.30 / $1,389.81 / $2,405.34	Professional		$1,028.30	$1,389.81	$2,405.34