Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,974.15 / $5,063.00 / $7,421.00	Facility		$1,974.15	$5,063.00	$7,421.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,687.80 / $1,974.15 / $4,210.46	Professional		$1,687.80	$1,974.15	$4,210.46
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 $1,849.79 / $2,731.71 / $5,270.47	Professional		$1,849.79	$2,731.71	$5,270.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,101.39 / $3,648.69 / $4,243.59	Facility		$3,101.39	$3,648.69	$4,243.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,091.36 / $3,024.47 / $4,965.92	Professional		$2,091.36	$3,024.47	$4,965.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,883.63 / $2,397.35 / $15,727.00	Professional		$1,883.63	$2,397.35	$15,727.00
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 $1,853.23 / $2,836.29 / $4,271.87	Professional		$1,853.23	$2,836.29	$4,271.87