Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,141.66 / $5,045.00 / $6,915.00	Facility		$1,141.66	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,199.79 / $2,683.17	Professional		$977.24	$1,199.79	$2,683.17
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 $1,071.01 / $1,613.41 / $3,042.34	Professional		$1,071.01	$1,613.41	$3,042.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,792.55 / $2,087.69 / $2,225.85	Facility		$1,792.55	$2,087.69	$2,225.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,223.14 / $1,851.30 / $2,874.20	Professional		$1,223.14	$1,851.30	$2,874.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,090.21 / $1,387.54 / $3,328.03	Professional		$1,090.21	$1,387.54	$3,328.03
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 $1,069.74 / $1,570.90 / $2,707.45	Professional		$1,069.74	$1,570.90	$2,707.45