Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,780.53 / $5,045.00 / $6,915.00	Facility		$1,780.53	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,523.30 / $1,866.07 / $3,757.40	Professional		$1,523.30	$1,866.07	$3,757.40
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 $1,645.71 / $2,445.25 / $4,625.85	Professional		$1,645.71	$2,445.25	$4,625.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,798.54 / $3,292.40 / $3,830.79	Facility		$2,798.54	$3,292.40	$3,830.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,878.06 / $2,687.38 / $4,482.85	Professional		$1,878.06	$2,687.38	$4,482.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,700.39 / $2,164.13 / $3,611.52	Professional		$1,700.39	$2,164.13	$3,611.52
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 $1,670.43 / $2,493.32 / $4,939.33	Professional		$1,670.43	$2,493.32	$4,939.33