Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,225.00 / $5,045.00 / $6,915.00	Facility		$2,225.00	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,630.34 / $1,997.76 / $4,435.89	Professional		$1,630.34	$1,997.76	$4,435.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,478.38 / $5,842.74 / $17,934.25	Facility		$1,478.38	$5,842.74	$17,934.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,790.41 / $2,719.84 / $4,801.28	Professional		$1,790.41	$2,719.84	$4,801.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,031.56 / $3,031.56 / $3,031.56	Facility		$3,031.56	$3,031.56	$3,031.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $2,047.39 / $2,500.00	Facility		$500.00	$2,047.39	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,049.48 / $2,989.80 / $4,643.84	Professional		$2,049.48	$2,989.80	$4,643.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,944.94 / $2,988.14 / $5,733.17	Professional		$1,944.94	$2,988.14	$5,733.17
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 $1,633.51 / $2,684.97 / $4,149.50	Professional		$1,633.51	$2,684.97	$4,149.50