Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,746.30 / $3,391.00 / $6,915.00	Facility		$1,746.30	$3,391.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $480.00 / $710.53 / $798.00	Professional		$480.00	$710.53	$798.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $2,260.19 / $7,672.64	Facility		$450.00	$2,260.19	$7,672.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $0.02	Professional		$0.02	$0.02	$0.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $69,861.80 / $69,861.80 / $69,861.80	Professional		$69,861.80	$69,861.80	$69,861.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $617.00 / $835.00	Facility		$200.00	$617.00	$835.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $221.00 / $1,600.00 / $1,600.00	Professional		$221.00	$1,600.00	$1,600.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,400.00 / $1,400.00 / $1,400.00	Professional		$1,400.00	$1,400.00	$1,400.00
United Facility/Professional Facility Modifier Low / Median / High Price $515.00 / $2,307.00 / $5,272.00	Facility		$515.00	$2,307.00	$5,272.00