Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,458.00 / $4,829.00 / $6,915.00	Facility		$1,458.00	$4,829.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $875.58 / $1,052.18 / $2,210.90	Professional		$875.58	$1,052.18	$2,210.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,402.00 / $5,435.54 / $12,227.65	Facility		$1,402.00	$5,435.54	$12,227.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $968.43 / $1,391.33 / $2,517.26	Professional		$968.43	$1,391.33	$2,517.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,695.75 / $2,039.94 / $2,774.91	Facility		$1,695.75	$2,039.94	$2,774.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,101.82 / $1,101.82 / $6,497.13	Facility		$1,101.82	$1,101.82	$6,497.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,018.98 / $1,529.06 / $2,485.42	Professional		$1,018.98	$1,529.06	$2,485.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,065.27 / $1,525.70 / $2,742.25	Professional		$1,065.27	$1,525.70	$2,742.25
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 $859.85 / $1,301.89 / $2,198.16	Professional		$859.85	$1,301.89	$2,198.16