Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,368.12 / $5,045.00 / $6,915.00	Facility		$1,368.12	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,160.35 / $1,403.49 / $3,621.34	Professional		$1,160.35	$1,403.49	$3,621.34
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 $1,212.61 / $1,860.47 / $3,489.27	Professional		$1,212.61	$1,860.47	$3,489.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,052.02 / $2,414.15 / $2,810.67	Facility		$2,052.02	$2,414.15	$2,810.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,375.77 / $2,256.58 / $3,845.80	Professional		$1,375.77	$2,256.58	$3,845.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,247.58 / $1,587.84 / $5,149.27	Professional		$1,247.58	$1,587.84	$5,149.27
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 $1,275.57 / $1,787.27 / $2,851.09	Professional		$1,275.57	$1,787.27	$2,851.09