Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,765.09 / $5,045.00 / $6,915.00	Facility		$1,765.09	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,509.57 / $1,857.11 / $4,109.35	Professional		$1,509.57	$1,857.11	$4,109.35
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 $1,659.95 / $2,536.60 / $4,710.68	Professional		$1,659.95	$2,536.60	$4,710.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,774.64 / $3,264.29 / $3,797.45	Facility		$2,774.64	$3,264.29	$3,797.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,880.30 / $2,768.70 / $4,443.84	Professional		$1,880.30	$2,768.70	$4,443.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,685.60 / $2,145.30 / $3,919.50	Professional		$1,685.60	$2,145.30	$3,919.50
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 $1,656.37 / $2,414.41 / $3,783.55	Professional		$1,656.37	$2,414.41	$3,783.55