Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,102.49 / $5,045.00 / $6,915.00	Facility		$1,102.49	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $947.74 / $1,155.36 / $2,623.82	Professional		$947.74	$1,155.36	$2,623.82
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 $1,031.70 / $1,521.90 / $2,933.53	Professional		$1,031.70	$1,521.90	$2,933.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,733.39 / $2,039.27 / $2,382.33	Facility		$1,733.39	$2,039.27	$2,382.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,154.43 / $1,850.68 / $2,798.94	Professional		$1,154.43	$1,850.68	$2,798.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,057.46 / $1,345.86 / $3,281.52	Professional		$1,057.46	$1,345.86	$3,281.52
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 $1,031.50 / $1,618.84 / $2,610.66	Professional		$1,031.50	$1,618.84	$2,610.66