Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,577.51 / $5,045.00 / $6,915.00	Facility		$1,577.51	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,348.65 / $1,642.11 / $3,288.92	Professional		$1,348.65	$1,642.11	$3,288.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,538.99 / $5,012.33 / $10,649.67	Facility		$1,538.99	$5,012.33	$10,649.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,381.30 / $2,054.05 / $3,997.21	Professional		$1,381.30	$2,054.05	$3,997.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,476.28 / $2,913.27 / $3,389.69	Facility		$2,476.28	$2,913.27	$3,389.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,632.33 / $2,416.04 / $3,966.68	Professional		$1,632.33	$2,416.04	$3,966.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,504.60 / $1,914.95 / $3,687.49	Professional		$1,504.60	$1,914.95	$3,687.49
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 $1,480.42 / $2,084.64 / $3,423.42	Professional		$1,480.42	$2,084.64	$3,423.42