Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,259.45 / $5,045.00 / $6,915.00	Facility		$1,259.45	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,176.64 / $1,463.79 / $2,568.75	Professional		$1,176.64	$1,463.79	$2,568.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,298.47 / $4,431.64 / $10,456.09	Facility		$1,298.47	$4,431.64	$10,456.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,220.23 / $1,717.15 / $3,223.21	Professional		$1,220.23	$1,717.15	$3,223.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,324.73 / $2,544.84 / $3,908.15	Facility		$2,324.73	$2,544.84	$3,908.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $550.00 / $550.00	Facility		$550.00	$550.00	$550.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,231.55 / $2,064.54 / $3,384.89	Professional		$1,231.55	$2,064.54	$3,384.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,217.80 / $1,583.14 / $3,019.61	Professional		$1,217.80	$1,583.14	$3,019.61
United Facility/Professional Facility Modifier Low / Median / High Price $1,162.00 / $3,372.00 / $8,133.00	Facility		$1,162.00	$3,372.00	$8,133.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,254.08 / $1,744.80 / $3,236.67	Professional		$1,254.08	$1,744.80	$3,236.67