Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,217.50 / $5,045.00 / $6,915.00	Facility		$1,217.50	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $984.93 / $1,333.58 / $2,115.17	Professional		$984.93	$1,333.58	$2,115.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $2,634.62 / $5,292.58	Facility		$964.00	$2,634.62	$5,292.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,024.63 / $1,624.64 / $3,197.66	Professional		$1,024.63	$1,624.64	$3,197.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,136.83 / $2,513.91 / $3,474.24	Facility		$2,136.83	$2,513.91	$3,474.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,366.34 / $2,500.00	Facility		$500.00	$1,366.34	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,056.60 / $1,600.41 / $3,083.00	Professional		$1,056.60	$1,600.41	$3,083.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,394.36 / $1,818.74 / $3,506.46	Professional		$1,394.36	$1,818.74	$3,506.46
United Facility/Professional Facility Modifier Low / Median / High Price $625.00 / $3,218.00 / $5,272.00	Facility		$625.00	$3,218.00	$5,272.00
United Facility/Professional Professional Modifier Low / Median / High Price $930.50 / $1,375.39 / $3,115.79	Professional		$930.50	$1,375.39	$3,115.79