Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,482.00 / $5,045.00 / $6,915.00	Facility		$1,482.00	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,269.27 / $1,548.04 / $3,104.48	Professional		$1,269.27	$1,548.04	$3,104.48
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 $1,302.01 / $2,033.29 / $3,749.82	Professional		$1,302.01	$2,033.29	$3,749.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,332.21 / $2,743.77 / $3,197.16	Facility		$2,332.21	$2,743.77	$3,197.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,515.19 / $2,267.15 / $3,741.38	Professional		$1,515.19	$2,267.15	$3,741.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,419.14 / $1,806.18 / $3,850.59	Professional		$1,419.14	$1,806.18	$3,850.59
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 $1,389.18 / $1,986.53 / $3,505.15	Professional		$1,389.18	$1,986.53	$3,505.15