Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,141.11 / $5,045.00 / $6,915.00	Facility		$1,141.11	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $978.42 / $1,197.70 / $2,452.65	Professional		$978.42	$1,197.70	$2,452.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,406.20 / $4,415.29 / $8,702.00	Facility		$1,406.20	$4,415.29	$8,702.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,067.23 / $1,592.53 / $2,983.63	Professional		$1,067.23	$1,592.53	$2,983.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,792.71 / $2,109.08 / $2,459.52	Facility		$1,792.71	$2,109.08	$2,459.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,214.48 / $1,744.03 / $3,036.68	Professional		$1,214.48	$1,744.03	$3,036.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,091.73 / $1,389.47 / $2,031.49	Professional		$1,091.73	$1,389.47	$2,031.49
United Facility/Professional Facility Modifier Low / Median / High Price $1,998.00 / $9,193.00 / $18,613.00	Facility		$1,998.00	$9,193.00	$18,613.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,068.65 / $1,559.75 / $2,496.61	Professional		$1,068.65	$1,559.75	$2,496.61