Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,331.18 / $2,285.76 / $3,388.74	Facility		$1,331.18	$2,285.76	$3,388.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,329.04 / $1,629.79 / $3,606.72	Professional		$1,329.04	$1,629.79	$3,606.72
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 $1,270.23 / $2,129.53 / $3,577.75	Professional		$1,270.23	$2,129.53	$3,577.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,904.39 / $2,904.39 / $2,904.39	Facility		$2,904.39	$2,904.39	$2,904.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $926.52 / $2,222.92 / $2,500.00	Facility		$926.52	$2,222.92	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,630.32 / $2,446.09 / $4,005.68	Professional		$1,630.32	$2,446.09	$4,005.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,524.28 / $2,188.27 / $4,216.62	Professional		$1,524.28	$2,188.27	$4,216.62
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 $1,461.72 / $2,406.48 / $3,738.25	Professional		$1,461.72	$2,406.48	$3,738.25