Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,948.57 / $5,045.00 / $6,915.00	Facility		$1,948.57	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,678.74 / $2,028.07 / $3,881.57	Professional		$1,678.74	$2,028.07	$3,881.57
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 $1,690.26 / $2,604.69 / $4,833.22	Professional		$1,690.26	$2,604.69	$4,833.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,004.56 / $3,534.78 / $4,152.68	Facility		$3,004.56	$3,534.78	$4,152.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,959.69 / $2,830.79 / $4,859.57	Professional		$1,959.69	$2,830.79	$4,859.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,843.28 / $2,345.98 / $3,528.84	Professional		$1,843.28	$2,345.98	$3,528.84
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 $1,808.04 / $2,489.55 / $4,216.78	Professional		$1,808.04	$2,489.55	$4,216.78