Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,059.14 / $5,045.00 / $6,915.00	Facility		$1,059.14	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $907.68 / $1,111.48 / $2,539.34	Professional		$907.68	$1,111.48	$2,539.34
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 $992.67 / $1,473.32 / $2,817.72	Professional		$992.67	$1,473.32	$2,817.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,661.09 / $1,954.22 / $2,279.36	Facility		$1,661.09	$1,954.22	$2,279.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,126.19 / $1,753.95 / $2,667.35	Professional		$1,126.19	$1,753.95	$2,667.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,011.76 / $1,287.69 / $3,281.99	Professional		$1,011.76	$1,287.69	$3,281.99
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 $990.77 / $1,434.41 / $2,295.83	Professional		$990.77	$1,434.41	$2,295.83