Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,624.92 / $5,045.00 / $6,915.00	Facility		$1,624.92	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,403.14 / $1,661.46 / $3,327.98	Professional		$1,403.14	$1,661.46	$3,327.98
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 $1,411.30 / $2,202.23 / $3,819.62	Professional		$1,411.30	$2,202.23	$3,819.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,505.14 / $2,947.23 / $3,470.09	Facility		$2,505.14	$2,947.23	$3,470.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,574.41 / $2,453.48 / $4,060.78	Professional		$1,574.41	$2,453.48	$4,060.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,540.30 / $1,960.38 / $3,760.11	Professional		$1,540.30	$1,960.38	$3,760.11
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 $1,503.36 / $2,028.75 / $3,504.37	Professional		$1,503.36	$2,028.75	$3,504.37