Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,694.34 / $5,063.00 / $9,512.00	Facility		$1,694.34	$5,063.00	$9,512.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,153.56 / $1,388.92 / $2,722.67	Professional		$1,153.56	$1,388.92	$2,722.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,716.66 / $5,625.09 / $13,137.87	Facility		$1,716.66	$5,625.09	$13,137.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,265.97 / $1,796.39 / $3,319.77	Professional		$1,265.97	$1,796.39	$3,319.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,239.52 / $2,691.42 / $3,661.11	Facility		$2,239.52	$2,691.42	$3,661.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,453.45 / $1,453.45 / $9,125.94	Facility		$1,453.45	$1,453.45	$9,125.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,314.24 / $2,016.09 / $3,276.45	Professional		$1,314.24	$2,016.09	$3,276.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,405.48 / $2,159.33 / $3,167.21	Professional		$1,405.48	$2,159.33	$3,167.21
United Facility/Professional Facility Modifier Low / Median / High Price $1,998.00 / $9,172.00 / $18,613.00	Facility		$1,998.00	$9,172.00	$18,613.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,134.57 / $1,674.36 / $2,913.17	Professional		$1,134.57	$1,674.36	$2,913.17