Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,424.15 / $5,045.00 / $6,915.00	Facility		$1,424.15	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,234.31 / $1,504.32 / $3,048.05	Professional		$1,234.31	$1,504.32	$3,048.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,282.27 / $5,155.99 / $39,007.80	Facility		$1,282.27	$5,155.99	$39,007.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,379.87 / $1,975.41 / $3,574.02	Professional		$1,379.87	$1,975.41	$3,574.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,092.77 / $2,092.77 / $2,092.77	Facility		$2,092.77	$2,092.77	$2,092.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,568.44 / $2,500.00	Facility		$500.00	$1,568.44	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,418.95 / $2,175.82 / $3,566.99	Professional		$1,418.95	$2,175.82	$3,566.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,512.65 / $2,323.98 / $5,132.05	Professional		$1,512.65	$2,323.98	$5,132.05
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 $1,229.81 / $1,879.70 / $3,162.32	Professional		$1,229.81	$1,879.70	$3,162.32