Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,271.38 / $5,045.00 / $6,915.00	Facility		$1,271.38	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,089.79 / $1,328.16 / $2,944.45	Professional		$1,089.79	$1,328.16	$2,944.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,860.62 / $5,304.99 / $10,832.53	Facility		$1,860.62	$5,304.99	$10,832.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,177.83 / $1,752.11 / $3,383.73	Professional		$1,177.83	$1,752.11	$3,383.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,996.11 / $2,348.37 / $2,737.80	Facility		$1,996.11	$2,348.37	$2,737.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,326.96 / $2,080.73 / $3,203.83	Professional		$1,326.96	$2,080.73	$3,203.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,215.25 / $1,546.68 / $3,652.11	Professional		$1,215.25	$1,546.68	$3,652.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,036.00 / $3,629.00 / $10,000.00	Facility		$1,036.00	$3,629.00	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,189.79 / $1,755.47 / $2,741.13	Professional		$1,189.79	$1,755.47	$2,741.13