Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,260.52 / $5,367.00 / $9,512.00	Facility		$1,260.52	$5,367.00	$9,512.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $905.91 / $1,092.14 / $2,229.05	Professional		$905.91	$1,092.14	$2,229.05
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 $983.66 / $1,399.94 / $2,587.12	Professional		$983.66	$1,399.94	$2,587.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,742.09 / $2,092.73 / $2,846.73	Facility		$1,742.09	$2,092.73	$2,846.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,135.13 / $2,500.00	Facility		$500.00	$1,135.13	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,008.58 / $1,559.53 / $2,579.17	Professional		$1,008.58	$1,559.53	$2,579.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,092.83 / $1,594.46 / $2,483.03	Professional		$1,092.83	$1,594.46	$2,483.03
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 $899.73 / $1,317.69 / $2,259.16	Professional		$899.73	$1,317.69	$2,259.16