Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,362.25 / $5,045.00 / $6,915.00	Facility		$1,362.25	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,165.61 / $1,419.87 / $2,785.06	Professional		$1,165.61	$1,419.87	$2,785.06
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 $1,195.01 / $1,749.13 / $3,315.44	Professional		$1,195.01	$1,749.13	$3,315.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,141.23 / $2,519.10 / $2,932.04	Facility		$2,141.23	$2,519.10	$2,932.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,362.36 / $2,084.76 / $3,431.12	Professional		$1,362.36	$2,084.76	$3,431.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,301.45 / $1,656.40 / $3,454.41	Professional		$1,301.45	$1,656.40	$3,454.41
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 $1,277.43 / $1,751.75 / $2,945.33	Professional		$1,277.43	$1,751.75	$2,945.33