Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,859.47 / $5,063.00 / $6,915.00	Facility		$2,859.47	$5,063.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,302.02 / $3,027.44 / $5,484.45	Professional		$2,302.02	$3,027.44	$5,484.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,361.69 / $9,558.66 / $55,752.34	Facility		$2,361.69	$9,558.66	$55,752.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,681.52 / $3,871.82 / $6,880.20	Professional		$2,681.52	$3,871.82	$6,880.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,847.18 / $5,702.55 / $7,879.67	Facility		$4,847.18	$5,702.55	$7,879.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $2,500.00 / $3,145.79	Facility		$500.00	$2,500.00	$3,145.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,635.04 / $4,131.93 / $7,133.94	Professional		$2,635.04	$4,131.93	$7,133.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,024.96 / $4,255.82 / $6,816.66	Professional		$3,024.96	$4,255.82	$6,816.66
United Facility/Professional Facility Modifier Low / Median / High Price $2,303.00 / $10,133.00 / $20,037.00	Facility		$2,303.00	$10,133.00	$20,037.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,427.05 / $3,563.99 / $6,373.93	Professional		$2,427.05	$3,563.99	$6,373.93