Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,419.03 / $5,045.00 / $6,915.00	Facility		$1,419.03	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,227.69 / $1,444.21 / $3,014.65	Professional		$1,227.69	$1,444.21	$3,014.65
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 $1,234.04 / $1,929.47 / $3,534.08	Professional		$1,234.04	$1,929.47	$3,534.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,189.31 / $2,575.65 / $3,036.39	Facility		$2,189.31	$2,575.65	$3,036.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,365.60 / $2,300.10 / $3,553.22	Professional		$1,365.60	$2,300.10	$3,553.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,347.78 / $1,715.35 / $3,739.18	Professional		$1,347.78	$1,715.35	$3,739.18
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 $1,313.71 / $1,872.87 / $3,324.92	Professional		$1,313.71	$1,872.87	$3,324.92