Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,057.30 / $5,045.00 / $6,915.00	Facility		$1,057.30	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $906.97 / $1,109.50 / $2,602.14	Professional		$906.97	$1,109.50	$2,602.14
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 $989.34 / $1,472.24 / $2,814.65	Professional		$989.34	$1,472.24	$2,814.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,658.70 / $1,951.41 / $2,276.04	Facility		$1,658.70	$1,951.41	$2,276.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,095.33 / $1,823.94 / $2,858.00	Professional		$1,095.33	$1,823.94	$2,858.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,010.28 / $1,285.82 / $3,363.12	Professional		$1,010.28	$1,285.82	$3,363.12
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 $989.69 / $1,415.26 / $2,504.85	Professional		$989.69	$1,415.26	$2,504.85