Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,643.71 / $5,063.00 / $7,421.00	Facility		$1,643.71	$5,063.00	$7,421.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,004.66 / $1,218.83 / $2,592.58	Professional		$1,004.66	$1,218.83	$2,592.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,282.27 / $5,155.99 / $21,657.35	Facility		$1,282.27	$5,155.99	$21,657.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,111.33 / $1,596.39 / $2,888.27	Professional		$1,111.33	$1,596.39	$2,888.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,948.53 / $2,340.96 / $3,184.40	Facility		$1,948.53	$2,340.96	$3,184.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,264.76 / $2,500.00	Facility		$500.00	$1,264.76	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,181.27 / $1,749.91 / $2,853.89	Professional		$1,181.27	$1,749.91	$2,853.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,222.47 / $1,756.35 / $3,158.82	Professional		$1,222.47	$1,756.35	$3,158.82
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 $987.46 / $1,533.31 / $2,533.16	Professional		$987.46	$1,533.31	$2,533.16