Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,346.13 / $5,045.00 / $6,915.00	Facility		$1,346.13	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,151.52 / $1,415.41 / $3,729.79	Professional		$1,151.52	$1,415.41	$3,729.79
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 $1,245.41 / $1,882.25 / $3,497.45	Professional		$1,245.41	$1,882.25	$3,497.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,115.21 / $2,488.48 / $2,896.76	Facility		$2,115.21	$2,488.48	$2,896.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,413.57 / $2,323.59 / $4,041.19	Professional		$1,413.57	$2,323.59	$4,041.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,285.80 / $1,636.47 / $5,577.83	Professional		$1,285.80	$1,636.47	$5,577.83
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 $1,262.64 / $1,794.52 / $2,842.84	Professional		$1,262.64	$1,794.52	$2,842.84