Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,113.15 / $5,045.00 / $6,915.00	Facility		$1,113.15	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $955.61 / $1,167.53 / $2,647.07	Professional		$955.61	$1,167.53	$2,647.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,860.62 / $5,304.99 / $10,832.53	Facility		$1,860.62	$5,304.99	$10,832.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,041.11 / $1,548.63 / $2,961.26	Professional		$1,041.11	$1,548.63	$2,961.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,747.13 / $2,055.44 / $2,398.56	Facility		$1,747.13	$2,055.44	$2,398.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,182.49 / $1,784.72 / $2,866.21	Professional		$1,182.49	$1,784.72	$2,866.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,064.67 / $1,355.03 / $3,386.81	Professional		$1,064.67	$1,355.03	$3,386.81
United Facility/Professional Facility Modifier Low / Median / High Price $1,269.00 / $3,587.00 / $8,133.00	Facility		$1,269.00	$3,587.00	$8,133.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,041.24 / $1,560.58 / $2,635.32	Professional		$1,041.24	$1,560.58	$2,635.32