Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,051.42 / $5,045.00 / $6,915.00	Facility		$1,051.42	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $904.42 / $1,101.05 / $2,248.66	Professional		$904.42	$1,101.05	$2,248.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,206.01 / $3,514.57 / $6,339.18	Facility		$1,206.01	$3,514.57	$6,339.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $976.01 / $1,450.42 / $2,794.06	Professional		$976.01	$1,450.42	$2,794.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,648.88 / $1,939.86 / $2,267.48	Facility		$1,648.88	$1,939.86	$2,267.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,088.72 / $1,786.75 / $2,653.45	Professional		$1,088.72	$1,786.75	$2,653.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,006.48 / $1,280.97 / $2,441.54	Professional		$1,006.48	$1,280.97	$2,441.54
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 $982.46 / $1,483.13 / $2,486.55	Professional		$982.46	$1,483.13	$2,486.55