Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,110.60 / $5,045.00 / $6,915.00	Facility		$2,110.60	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,804.18 / $2,221.81 / $4,434.53	Professional		$1,804.18	$2,221.81	$4,434.53
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 $1,973.65 / $2,974.39 / $5,488.45	Professional		$1,973.65	$2,974.39	$5,488.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,317.34 / $3,902.75 / $4,537.72	Facility		$3,317.34	$3,902.75	$4,537.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,219.14 / $3,345.16 / $5,505.02	Professional		$2,219.14	$3,345.16	$5,505.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,014.19 / $2,563.51 / $4,257.38	Professional		$2,014.19	$2,563.51	$4,257.38
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 $1,981.23 / $2,886.88 / $4,568.14	Professional		$1,981.23	$2,886.88	$4,568.14