Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,017.55 / $5,063.00 / $7,421.00	Facility		$2,017.55	$5,063.00	$7,421.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,724.52 / $2,017.55 / $4,302.31	Professional		$1,724.52	$2,017.55	$4,302.31
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 $1,865.31 / $2,791.49 / $5,385.43	Professional		$1,865.31	$2,791.49	$5,385.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,169.34 / $3,728.64 / $4,336.17	Facility		$3,169.34	$3,728.64	$4,336.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,094.75 / $3,046.45 / $4,859.68	Professional		$2,094.75	$3,046.45	$4,859.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,924.73 / $2,449.65 / $12,731.00	Professional		$1,924.73	$2,449.65	$12,731.00
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 $1,893.61 / $2,804.69 / $4,378.64	Professional		$1,893.61	$2,804.69	$4,378.64