Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,458.00 / $5,063.00 / $6,915.00	Facility		$1,458.00	$5,063.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $993.00 / $1,170.33 / $1,376.06	Professional		$993.00	$1,170.33	$1,376.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,226.13 / $6,335.82 / $12,332.18	Facility		$2,226.13	$6,335.82	$12,332.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,220.72 / $1,225.33 / $2,295.61	Professional		$1,220.72	$1,225.33	$2,295.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,048.54 / $2,464.94 / $3,353.06	Facility		$2,048.54	$2,464.94	$3,353.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,339.50 / $1,339.50 / $6,122.06	Facility		$1,339.50	$1,339.50	$6,122.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,881.31 / $1,881.31 / $5,578.48	Professional		$1,881.31	$1,881.31	$5,578.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,276.02 / $1,658.83 / $2,233.04	Professional		$1,276.02	$1,658.83	$2,233.04
United Facility/Professional Facility Modifier Low / Median / High Price $1,998.00 / $9,172.00 / $18,613.00	Facility		$1,998.00	$9,172.00	$18,613.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,104.53 / $1,844.21 / $2,838.20	Professional		$1,104.53	$1,844.21	$2,838.20