Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,230.09 / $5,045.00 / $6,915.00	Facility		$1,230.09	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,131.58 / $1,230.09 / $2,583.67	Professional		$1,131.58	$1,230.09	$2,583.67
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 $1,079.25 / $1,690.79 / $3,074.88	Professional		$1,079.25	$1,690.79	$3,074.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,934.57 / $2,275.96 / $2,649.65	Facility		$1,934.57	$2,275.96	$2,649.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,271.09 / $1,976.70 / $3,100.66	Professional		$1,271.09	$1,976.70	$3,100.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,176.10 / $1,496.87 / $3,339.27	Professional		$1,176.10	$1,496.87	$3,339.27
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 $1,154.47 / $1,645.84 / $2,921.89	Professional		$1,154.47	$1,645.84	$2,921.89