Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,483.78 / $5,045.00 / $6,915.00	Facility		$1,483.78	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,270.38 / $1,559.87 / $3,356.68	Professional		$1,270.38	$1,559.87	$3,356.68
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 $1,367.96 / $2,044.00 / $3,826.13	Professional		$1,367.96	$2,044.00	$3,826.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,332.16 / $2,743.71 / $3,194.52	Facility		$2,332.16	$2,743.71	$3,194.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,537.39 / $2,247.85 / $3,738.30	Professional		$1,537.39	$2,247.85	$3,738.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,417.98 / $1,804.70 / $2,950.72	Professional		$1,417.98	$1,804.70	$2,950.72
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 $1,391.35 / $2,032.68 / $3,521.42	Professional		$1,391.35	$2,032.68	$3,521.42