Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,251.88 / $5,045.00 / $6,915.00	Facility		$1,251.88	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,070.61 / $1,316.28 / $2,681.88	Professional		$1,070.61	$1,316.28	$2,681.88
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 $1,173.54 / $1,722.83 / $3,205.28	Professional		$1,173.54	$1,722.83	$3,205.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,965.75 / $2,312.64 / $2,692.13	Facility		$1,965.75	$2,312.64	$2,692.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,317.94 / $1,973.00 / $3,150.39	Professional		$1,317.94	$1,973.00	$3,150.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,194.97 / $1,520.88 / $3,154.53	Professional		$1,194.97	$1,520.88	$3,154.53
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 $1,173.58 / $1,717.12 / $2,712.74	Professional		$1,173.58	$1,717.12	$2,712.74