Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,699.44 / $5,045.00 / $6,915.00	Facility		$1,699.44	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,453.95 / $1,771.59 / $3,625.27	Professional		$1,453.95	$1,771.59	$3,625.27
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 $1,572.77 / $2,341.44 / $4,398.64	Professional		$1,572.77	$2,341.44	$4,398.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,670.39 / $3,141.65 / $3,656.21	Facility		$2,670.39	$3,141.65	$3,656.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,767.72 / $2,636.70 / $4,278.56	Professional		$1,767.72	$2,636.70	$4,278.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,622.91 / $2,065.52 / $3,959.71	Professional		$1,622.91	$2,065.52	$3,959.71
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 $1,594.71 / $2,328.66 / $4,036.12	Professional		$1,594.71	$2,328.66	$4,036.12