Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,104.34 / $5,045.00 / $6,915.00	Facility		$1,104.34	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $948.28 / $1,156.24 / $2,372.27	Professional		$948.28	$1,156.24	$2,372.27
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 $1,024.24 / $1,522.86 / $2,840.01	Professional		$1,024.24	$1,522.86	$2,840.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,736.73 / $2,043.21 / $2,384.04	Facility		$1,736.73	$2,043.21	$2,384.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,170.64 / $1,662.91 / $2,789.85	Professional		$1,170.64	$1,662.91	$2,789.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,058.22 / $1,346.83 / $2,129.17	Professional		$1,058.22	$1,346.83	$2,129.17
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 $1,035.10 / $1,480.21 / $2,433.21	Professional		$1,035.10	$1,480.21	$2,433.21