Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,813.14 / $5,045.00 / $6,915.00	Facility		$1,813.14	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,550.92 / $1,904.24 / $3,868.22	Professional		$1,550.92	$1,904.24	$3,868.22
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 $1,705.02 / $2,662.60 / $4,703.82	Professional		$1,705.02	$2,662.60	$4,703.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,850.45 / $3,353.48 / $3,901.44	Facility		$2,850.45	$3,353.48	$3,901.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,929.68 / $2,894.10 / $4,565.55	Professional		$1,929.68	$2,894.10	$4,565.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,731.76 / $2,204.06 / $4,370.01	Professional		$1,731.76	$2,204.06	$4,370.01
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 $1,701.43 / $2,534.83 / $3,933.36	Professional		$1,701.43	$2,534.83	$3,933.36