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 $1,829.17 / $2,202.85 / $4,318.83	Professional		$1,829.17	$2,202.85	$4,318.83
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 $1,910.64 / $2,825.36 / $5,221.32	Professional		$1,910.64	$2,825.36	$5,221.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,986.94 / $2,986.94 / $2,986.94	Facility		$2,986.94	$2,986.94	$2,986.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $2,293.52 / $2,500.00	Facility		$500.00	$2,293.52	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,042.23 / $3,198.02 / $5,198.60	Professional		$2,042.23	$3,198.02	$5,198.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,211.89 / $3,016.22 / $4,984.45	Professional		$2,211.89	$3,016.22	$4,984.45
United Facility/Professional Facility Modifier Low / Median / High Price $2,845.00 / $7,357.00 / $11,889.00	Facility		$2,845.00	$7,357.00	$11,889.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,734.52 / $2,719.63 / $4,559.43	Professional		$1,734.52	$2,719.63	$4,559.43