Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,109.35 / $5,045.00 / $6,915.00	Facility		$2,109.35	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,846.04 / $2,235.06 / $4,523.79	Professional		$1,846.04	$2,235.06	$4,523.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,361.69 / $8,967.21 / $21,657.35	Facility		$2,361.69	$8,967.21	$21,657.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,040.52 / $3,139.98 / $5,548.97	Professional		$2,040.52	$3,139.98	$5,548.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,178.63 / $4,178.63 / $4,178.63	Facility		$4,178.63	$4,178.63	$4,178.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $2,322.34 / $2,500.00	Facility		$500.00	$2,322.34	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,239.94 / $3,351.48 / $5,268.93	Professional		$2,239.94	$3,351.48	$5,268.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,232.15 / $3,326.33 / $5,030.10	Professional		$2,232.15	$3,326.33	$5,030.10
United Facility/Professional Facility Modifier Low / Median / High Price $3,293.00 / $9,000.00 / $16,000.00	Facility		$3,293.00	$9,000.00	$16,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,856.17 / $3,071.31 / $5,050.96	Professional		$1,856.17	$3,071.31	$5,050.96