Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,791.00 / $5,063.00 / $6,915.00	Facility		$1,791.00	$5,063.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $954.73 / $1,111.80 / $1,744.00	Professional		$954.73	$1,111.80	$1,744.00
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 $1,159.13 / $1,586.46 / $2,639.51	Professional		$1,159.13	$1,586.46	$2,639.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,908.29 / $2,296.14 / $3,447.75	Facility		$1,908.29	$2,296.14	$3,447.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,239.46 / $2,500.00	Facility		$500.00	$1,239.46	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,030.66 / $1,686.27 / $2,792.87	Professional		$1,030.66	$1,686.27	$2,792.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,307.09 / $2,008.18 / $5,988.30	Professional		$1,307.09	$2,008.18	$5,988.30
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 $947.95 / $1,594.78 / $2,773.77	Professional		$947.95	$1,594.78	$2,773.77