Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,039.70 / $5,063.00 / $7,421.00	Facility		$2,039.70	$5,063.00	$7,421.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,350.97 / $1,647.56 / $3,730.64	Professional		$1,350.97	$1,647.56	$3,730.64
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 $1,488.71 / $2,189.92 / $3,894.46	Professional		$1,488.71	$2,189.92	$3,894.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,296.84 / $2,296.84 / $2,296.84	Facility		$2,296.84	$2,296.84	$2,296.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,710.90 / $2,500.00	Facility		$500.00	$1,710.90	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,553.39 / $2,398.14 / $3,889.02	Professional		$1,553.39	$2,398.14	$3,889.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,647.56 / $2,266.00 / $4,821.64	Professional		$1,647.56	$2,266.00	$4,821.64
United Facility/Professional Facility Modifier Low / Median / High Price $2,845.00 / $7,356.00 / $11,889.00	Facility		$2,845.00	$7,356.00	$11,889.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,355.89 / $2,063.27 / $3,480.21	Professional		$1,355.89	$2,063.27	$3,480.21