Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,804.49 / $3,094.11 / $4,559.89	Facility		$1,804.49	$3,094.11	$4,559.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,804.49 / $2,187.15 / $5,213.31	Professional		$1,804.49	$2,187.15	$5,213.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,376.26 / $4,412.76 / $8,702.00	Facility		$1,376.26	$4,412.76	$8,702.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,721.90 / $2,883.27 / $4,855.43	Professional		$1,721.90	$2,883.27	$4,855.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,064.65 / $3,627.08 / $5,536.97	Facility		$3,064.65	$3,627.08	$5,536.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,240.71 / $2,500.00 / $3,013.24	Facility		$1,240.71	$2,500.00	$3,013.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,195.12 / $3,319.63 / $5,394.96	Professional		$2,195.12	$3,319.63	$5,394.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,066.28 / $2,948.83 / $6,737.94	Professional		$2,066.28	$2,948.83	$6,737.94
United Facility/Professional Facility Modifier Low / Median / High Price $1,738.00 / $7,794.00 / $14,048.00	Facility		$1,738.00	$7,794.00	$14,048.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,964.20 / $3,257.53 / $5,108.64	Professional		$1,964.20	$3,257.53	$5,108.64