Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,166.91 / $5,045.00 / $6,915.00	Facility		$1,166.91	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,001.05 / $1,166.91 / $2,689.82	Professional		$1,001.05	$1,166.91	$2,689.82
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 $1,025.33 / $1,600.09 / $2,854.38	Professional		$1,025.33	$1,600.09	$2,854.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,833.69 / $2,157.29 / $2,515.94	Facility		$1,833.69	$2,157.29	$2,515.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,045.70 / $1,969.72 / $2,891.18	Professional		$1,045.70	$1,969.72	$2,891.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,116.76 / $1,421.34 / $3,336.29	Professional		$1,116.76	$1,421.34	$3,336.29
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 $1,092.45 / $1,517.16 / $3,243.06	Professional		$1,092.45	$1,517.16	$3,243.06