Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $998.04 / $5,045.00 / $6,915.00	Facility		$998.04	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $858.76 / $1,044.16 / $2,152.06	Professional		$858.76	$1,044.16	$2,152.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,406.20 / $4,415.29 / $8,702.00	Facility		$1,406.20	$4,415.29	$8,702.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $919.02 / $1,366.65 / $2,574.04	Professional		$919.02	$1,366.65	$2,574.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,568.79 / $1,845.63 / $2,159.91	Facility		$1,568.79	$1,845.63	$2,159.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,038.68 / $1,499.94 / $2,527.56	Professional		$1,038.68	$1,499.94	$2,527.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $958.73 / $1,220.20 / $1,677.08	Professional		$958.73	$1,220.20	$1,677.08
United Facility/Professional Facility Modifier Low / Median / High Price $1,998.00 / $9,193.00 / $18,613.00	Facility		$1,998.00	$9,193.00	$18,613.00
United Facility/Professional Professional Modifier Low / Median / High Price $932.34 / $1,376.89 / $2,359.69	Professional		$932.34	$1,376.89	$2,359.69