Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,145.45 / $5,595.00 / $10,897.00	Facility		$1,145.45	$5,595.00	$10,897.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $988.77 / $1,175.82 / $2,056.11	Professional		$988.77	$1,175.82	$2,056.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,299.00 / $3,177.89 / $5,292.58	Facility		$1,299.00	$3,177.89	$5,292.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,018.57 / $1,549.76 / $2,526.04	Professional		$1,018.57	$1,549.76	$2,526.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,778.55 / $1,939.01 / $2,517.17	Facility		$1,778.55	$1,939.01	$2,517.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $958.56 / $1,306.71 / $2,650.79	Professional		$958.56	$1,306.71	$2,650.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,117.31 / $1,254.45 / $2,217.10	Professional		$1,117.31	$1,254.45	$2,217.10
United Facility/Professional Facility Modifier Low / Median / High Price $1,738.00 / $8,182.00 / $14,048.00	Facility		$1,738.00	$8,182.00	$14,048.00
United Facility/Professional Professional Modifier Low / Median / High Price $913.99 / $1,372.63 / $2,696.92	Professional		$913.99	$1,372.63	$2,696.92