Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,235.36 / $2,038.78 / $3,147.34	Facility		$1,235.36	$2,038.78	$3,147.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,235.36 / $1,587.44 / $3,340.25	Professional		$1,235.36	$1,587.44	$3,340.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $2,634.62 / $5,292.58	Facility		$964.00	$2,634.62	$5,292.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,174.04 / $1,917.85 / $3,334.27	Professional		$1,174.04	$1,917.85	$3,334.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,691.59 / $2,691.59 / $2,691.59	Facility		$2,691.59	$2,691.59	$2,691.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,022.65 / $2,067.04 / $2,500.00	Facility		$1,022.65	$2,067.04	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,520.51 / $2,303.87 / $3,894.87	Professional		$1,520.51	$2,303.87	$3,894.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,420.61 / $2,052.61 / $3,903.76	Professional		$1,420.61	$2,052.61	$3,903.76
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 $1,423.31 / $2,262.44 / $3,613.32	Professional		$1,423.31	$2,262.44	$3,613.32