Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,373.00 / $5,045.00 / $6,915.00	Facility		$1,373.00	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,174.71 / $1,443.84 / $2,845.79	Professional		$1,174.71	$1,443.84	$2,845.79
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 $1,270.05 / $1,887.26 / $3,549.87	Professional		$1,270.05	$1,887.26	$3,549.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,156.60 / $2,537.17 / $2,953.17	Facility		$2,156.60	$2,537.17	$2,953.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,424.52 / $2,070.78 / $3,455.86	Professional		$1,424.52	$2,070.78	$3,455.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,310.84 / $1,668.34 / $2,013.92	Professional		$1,310.84	$1,668.34	$2,013.92
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 $1,287.16 / $1,840.53 / $2,969.59	Professional		$1,287.16	$1,840.53	$2,969.59