Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,653.92 / $5,045.00 / $6,915.00	Facility		$1,653.92	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,442.56 / $1,678.86 / $3,443.78	Professional		$1,442.56	$1,678.86	$3,443.78
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 $1,465.51 / $2,119.34 / $3,985.41	Professional		$1,465.51	$2,119.34	$3,985.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,351.25 / $2,766.18 / $3,220.59	Facility		$2,351.25	$2,766.18	$3,220.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,502.00 / $2,383.73 / $4,031.55	Professional		$1,502.00	$2,383.73	$4,031.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,429.54 / $1,819.41 / $2,254.38	Professional		$1,429.54	$1,819.41	$2,254.38
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 $1,521.44 / $2,103.41 / $3,383.10	Professional		$1,521.44	$2,103.41	$3,383.10