Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,629.75 / $5,045.00 / $6,915.00	Facility		$1,629.75	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,393.20 / $1,714.65 / $3,628.78	Professional		$1,393.20	$1,714.65	$3,628.78
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 $1,428.64 / $2,137.16 / $4,165.89	Professional		$1,428.64	$2,137.16	$4,165.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,558.84 / $2,976.65 / $3,173.63	Facility		$2,558.84	$2,976.65	$3,173.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,715.01 / $2,528.57 / $4,098.04	Professional		$1,715.01	$2,528.57	$4,098.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,554.43 / $1,978.37 / $3,701.41	Professional		$1,554.43	$1,978.37	$3,701.41
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 $1,529.81 / $2,213.69 / $3,871.86	Professional		$1,529.81	$2,213.69	$3,871.86