Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,617.65 / $5,045.00 / $6,915.00	Facility		$1,617.65	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,397.07 / $1,679.93 / $3,707.14	Professional		$1,397.07	$1,679.93	$3,707.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,538.99 / $5,012.33 / $10,649.67	Facility		$1,538.99	$5,012.33	$10,649.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,405.28 / $2,219.66 / $4,230.70	Professional		$1,405.28	$2,219.66	$4,230.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,493.71 / $2,933.79 / $3,454.47	Facility		$2,493.71	$2,933.79	$3,454.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,592.20 / $2,498.10 / $4,042.49	Professional		$1,592.20	$2,498.10	$4,042.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,533.36 / $1,951.54 / $4,598.08	Professional		$1,533.36	$1,951.54	$4,598.08
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 $1,496.88 / $2,105.59 / $3,489.31	Professional		$1,496.88	$2,105.59	$3,489.31