Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,275.73 / $5,045.00 / $6,915.00	Facility		$1,275.73	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,091.11 / $1,341.48 / $3,006.34	Professional		$1,091.11	$1,341.48	$3,006.34
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 $1,196.00 / $1,752.09 / $3,285.78	Professional		$1,196.00	$1,752.09	$3,285.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,006.18 / $2,360.21 / $2,747.25	Facility		$2,006.18	$2,360.21	$2,747.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,345.79 / $1,960.20 / $3,214.89	Professional		$1,345.79	$1,960.20	$3,214.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,219.44 / $1,552.01 / $3,728.86	Professional		$1,219.44	$1,552.01	$3,728.86
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 $1,196.30 / $1,760.58 / $2,756.38	Professional		$1,196.30	$1,760.58	$2,756.38