Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,221.00 / $6,915.00 / $14,449.67	Facility		$2,221.00	$6,915.00	$14,449.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $497.00 / $1,500.00 / $4,630.50	Professional		$497.00	$1,500.00	$4,630.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,246.04 / $4,124.72 / $13,343.88	Facility		$1,246.04	$4,124.72	$13,343.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $2,856.00	Professional		$0.02	$0.02	$2,856.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $74,999.25 / $74,999.25 / $119,998.80	Facility		$74,999.25	$74,999.25	$119,998.80
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 $400.00 / $703.00 / $9,852.00	Facility		$400.00	$703.00	$9,852.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,377.00 / $1,377.00 / $4,004.79	Professional		$1,377.00	$1,377.00	$4,004.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13,697.00 / $13,697.00 / $13,697.00	Professional		$13,697.00	$13,697.00	$13,697.00
United Facility/Professional Facility Modifier Low / Median / High Price $741.00 / $5,664.00 / $11,889.00	Facility		$741.00	$5,664.00	$11,889.00