Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,293.58 / $5,063.00 / $9,488.00	Facility		$1,293.58	$5,063.00	$9,488.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $862.29 / $1,191.92 / $2,690.40	Professional		$862.29	$1,191.92	$2,690.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,540.00 / $4,412.76 / $8,545.91	Facility		$1,540.00	$4,412.76	$8,545.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $930.31 / $1,312.15 / $2,406.91	Professional		$930.31	$1,312.15	$2,406.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,664.32 / $1,664.32 / $1,664.32	Facility		$1,664.32	$1,664.32	$1,664.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,584.46 / $1,584.46 / $5,809.87	Facility		$1,584.46	$1,584.46	$5,809.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,045.73 / $1,597.50 / $2,841.06	Professional		$1,045.73	$1,597.50	$2,841.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,109.77 / $1,558.00 / $4,178.20	Professional		$1,109.77	$1,558.00	$4,178.20
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 $1,059.39 / $1,568.70 / $2,712.50	Professional		$1,059.39	$1,568.70	$2,712.50