Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,509.21 / $5,045.00 / $6,915.00	Facility		$1,509.21	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $818.22 / $999.70 / $1,941.10	Professional		$818.22	$999.70	$1,941.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,082.02 / $2,986.70 / $6,315.83	Facility		$1,082.02	$2,986.70	$6,315.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $906.48 / $1,368.63 / $2,431.80	Professional		$906.48	$1,368.63	$2,431.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,585.49 / $1,909.44 / $2,597.40	Facility		$1,585.49	$1,909.44	$2,597.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,031.52 / $2,172.58	Facility		$1,000.00	$1,031.52	$2,172.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $966.64 / $1,453.42 / $2,321.08	Professional		$966.64	$1,453.42	$2,321.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $997.13 / $1,531.95 / $2,247.01	Professional		$997.13	$1,531.95	$2,247.01
United Facility/Professional Facility Modifier Low / Median / High Price $1,738.00 / $7,794.00 / $14,048.00	Facility		$1,738.00	$7,794.00	$14,048.00
United Facility/Professional Professional Modifier Low / Median / High Price $803.79 / $1,347.90 / $2,184.42	Professional		$803.79	$1,347.90	$2,184.42