Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,642.41 / $5,045.00 / $6,915.00	Facility		$1,642.41	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,419.32 / $1,692.13 / $3,454.25	Professional		$1,419.32	$1,692.13	$3,454.25
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 $1,427.76 / $2,236.61 / $4,109.58	Professional		$1,427.76	$2,236.61	$4,109.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,533.32 / $2,980.38 / $3,511.20	Facility		$2,533.32	$2,980.38	$3,511.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,597.03 / $2,444.69 / $4,108.88	Professional		$1,597.03	$2,444.69	$4,108.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,558.55 / $1,983.60 / $3,444.54	Professional		$1,558.55	$1,983.60	$3,444.54
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 $1,519.58 / $2,191.67 / $3,541.63	Professional		$1,519.58	$2,191.67	$3,541.63