Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,146.05 / $5,045.00 / $6,915.00	Facility		$1,146.05	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $982.36 / $1,203.29 / $2,437.76	Professional		$982.36	$1,203.29	$2,437.76
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 $1,073.72 / $1,578.36 / $3,052.55	Professional		$1,073.72	$1,578.36	$3,052.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,799.46 / $2,117.01 / $2,467.88	Facility		$1,799.46	$2,117.01	$2,467.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,209.59 / $1,782.00 / $2,887.95	Professional		$1,209.59	$1,782.00	$2,887.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,095.44 / $1,394.19 / $2,885.64	Professional		$1,095.44	$1,394.19	$2,885.64
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 $1,073.33 / $1,663.68 / $2,716.56	Professional		$1,073.33	$1,663.68	$2,716.56