Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,624.80 / $5,045.00 / $6,915.00	Facility		$1,624.80	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,393.24 / $1,701.36 / $3,461.82	Professional		$1,393.24	$1,701.36	$3,461.82
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 $1,488.63 / $2,262.69 / $4,250.68	Professional		$1,488.63	$2,262.69	$4,250.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,525.61 / $2,971.31 / $3,470.24	Facility		$2,525.61	$2,971.31	$3,470.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,662.69 / $2,484.79 / $4,060.94	Professional		$1,662.69	$2,484.79	$4,060.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,540.35 / $1,960.45 / $3,635.12	Professional		$1,540.35	$1,960.45	$3,635.12
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 $1,522.54 / $2,177.23 / $3,537.92	Professional		$1,522.54	$2,177.23	$3,537.92