Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,559.54 / $5,045.00 / $6,915.00	Facility		$1,559.54	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,344.23 / $1,609.62 / $3,608.80	Professional		$1,344.23	$1,609.62	$3,608.80
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 $1,361.79 / $2,114.38 / $4,011.84	Professional		$1,361.79	$2,114.38	$4,011.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,405.96 / $2,830.55 / $3,331.37	Facility		$2,405.96	$2,830.55	$3,331.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,521.94 / $2,351.11 / $3,898.42	Professional		$1,521.94	$2,351.11	$3,898.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,478.71 / $1,881.99 / $4,476.10	Professional		$1,478.71	$1,881.99	$4,476.10
United Facility/Professional Facility Modifier Low / Median / High Price $1,269.00 / $3,587.00 / $8,133.00	Facility		$1,269.00	$3,587.00	$8,133.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,440.63 / $2,029.86 / $3,646.15	Professional		$1,440.63	$2,029.86	$3,646.15