Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,415.96 / $5,045.00 / $6,915.00	Facility		$1,415.96	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,217.61 / $1,476.85 / $3,018.71	Professional		$1,217.61	$1,476.85	$3,018.71
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 $1,253.13 / $1,929.02 / $3,576.05	Professional		$1,253.13	$1,929.02	$3,576.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,078.30 / $2,445.05 / $2,849.36	Facility		$2,078.30	$2,445.05	$2,849.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,403.12 / $2,156.96 / $3,458.25	Professional		$1,403.12	$2,156.96	$3,458.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,264.76 / $1,609.69 / $3,200.15	Professional		$1,264.76	$1,609.69	$3,200.15
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 $1,321.68 / $1,963.85 / $3,035.40	Professional		$1,321.68	$1,963.85	$3,035.40