Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,887.31 / $5,045.00 / $6,915.00	Facility		$1,887.31	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,614.01 / $1,985.89 / $4,008.37	Professional		$1,614.01	$1,985.89	$4,008.37
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 $1,768.71 / $2,592.17 / $4,905.45	Professional		$1,768.71	$2,592.17	$4,905.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,965.64 / $3,488.99 / $4,058.48	Facility		$2,965.64	$3,488.99	$4,058.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,981.11 / $2,890.31 / $4,749.31	Professional		$1,981.11	$2,890.31	$4,749.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,801.46 / $2,292.77 / $4,234.22	Professional		$1,801.46	$2,292.77	$4,234.22
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 $1,771.02 / $2,566.76 / $4,465.46	Professional		$1,771.02	$2,566.76	$4,465.46