Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,103.79 / $5,045.00 / $6,915.00	Facility		$1,103.79	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $946.73 / $1,158.66 / $2,588.96	Professional		$946.73	$1,158.66	$2,588.96
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 $1,034.28 / $1,536.45 / $2,940.78	Professional		$1,034.28	$1,536.45	$2,940.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,733.90 / $2,039.88 / $2,378.57	Facility		$1,733.90	$2,039.88	$2,378.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,146.68 / $1,782.00 / $2,783.46	Professional		$1,146.68	$1,782.00	$2,783.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,055.79 / $1,343.73 / $2,733.06	Professional		$1,055.79	$1,343.73	$2,733.06
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 $1,034.04 / $1,602.76 / $2,617.09	Professional		$1,034.04	$1,602.76	$2,617.09