Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,693.27 / $5,063.00 / $7,421.00	Facility		$1,693.27	$5,063.00	$7,421.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $980.86 / $1,182.83 / $2,539.39	Professional		$980.86	$1,182.83	$2,539.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,540.00 / $5,523.39 / $17,934.25	Facility		$1,540.00	$5,523.39	$17,934.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,044.97 / $1,562.90 / $2,793.82	Professional		$1,044.97	$1,562.90	$2,793.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,790.36 / $1,790.36 / $1,790.36	Facility		$1,790.36	$1,790.36	$1,790.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,221.35 / $2,500.00	Facility		$500.00	$1,221.35	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,090.75 / $1,717.64 / $2,771.33	Professional		$1,090.75	$1,717.64	$2,771.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,175.09 / $1,805.38 / $2,648.05	Professional		$1,175.09	$1,805.38	$2,648.05
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 $963.92 / $1,524.04 / $2,439.66	Professional		$963.92	$1,524.04	$2,439.66