Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,868.59 / $5,045.00 / $6,915.00	Facility		$1,868.59	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,634.91 / $1,975.40 / $4,074.29	Professional		$1,634.91	$1,975.40	$4,074.29
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 $1,811.17 / $2,775.13 / $4,925.26	Professional		$1,811.17	$2,775.13	$4,925.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,171.86 / $3,796.77 / $5,686.38	Facility		$3,171.86	$3,796.77	$5,686.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $2,057.66 / $2,500.00	Facility		$500.00	$2,057.66	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,991.60 / $2,945.95 / $4,676.68	Professional		$1,991.60	$2,945.95	$4,676.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,982.71 / $2,900.27 / $4,467.97	Professional		$1,982.71	$2,900.27	$4,467.97
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 $1,614.80 / $2,713.50 / $4,371.68	Professional		$1,614.80	$2,713.50	$4,371.68