Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,155.96 / $5,045.00 / $6,915.00	Facility		$1,155.96	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,007.18 / $1,217.80 / $2,474.46	Professional		$1,007.18	$1,217.80	$2,474.46
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 $1,119.18 / $1,591.65 / $2,908.07	Professional		$1,119.18	$1,591.65	$2,908.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,962.44 / $2,357.48 / $3,206.88	Facility		$1,962.44	$2,357.48	$3,206.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,273.55 / $2,500.00	Facility		$500.00	$1,273.55	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,148.89 / $1,768.79 / $2,870.83	Professional		$1,148.89	$1,768.79	$2,870.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,231.09 / $1,872.82 / $3,085.71	Professional		$1,231.09	$1,872.82	$3,085.71
United Facility/Professional Facility Modifier Low / Median / High Price $3,293.00 / $9,000.00 / $16,000.00	Facility		$3,293.00	$9,000.00	$16,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $994.86 / $1,509.83 / $2,539.42	Professional		$994.86	$1,509.83	$2,539.42