Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,761.84 / $5,045.00 / $6,915.00	Facility		$1,761.84	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,518.58 / $1,818.90 / $3,745.39	Professional		$1,518.58	$1,818.90	$3,745.39
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 $1,541.23 / $2,383.34 / $4,350.29	Professional		$1,541.23	$2,383.34	$4,350.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,716.98 / $3,196.46 / $3,758.91	Facility		$2,716.98	$3,196.46	$3,758.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,717.81 / $2,651.00 / $4,398.76	Professional		$1,717.81	$2,651.00	$4,398.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,668.49 / $2,123.53 / $3,881.77	Professional		$1,668.49	$2,123.53	$3,881.77
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 $1,632.81 / $2,300.44 / $3,981.94	Professional		$1,632.81	$2,300.44	$3,981.94