Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,368.41 / $5,063.00 / $7,391.00	Facility		$1,368.41	$5,063.00	$7,391.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $955.02 / $1,203.65 / $1,729.51	Professional		$955.02	$1,203.65	$1,729.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,805.30 / $5,084.83	Facility		$1,000.00	$2,805.30	$5,084.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $854.95 / $1,286.41 / $2,398.71	Professional		$854.95	$1,286.41	$2,398.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,643.33 / $2,001.02 / $74,999.25	Facility		$1,643.33	$2,001.02	$74,999.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $886.00 / $1,325.29 / $1,668.88	Facility		$886.00	$1,325.29	$1,668.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $897.52 / $1,287.15 / $2,500.80	Professional		$897.52	$1,287.15	$2,500.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,044.95 / $1,519.92 / $7,735.71	Professional		$1,044.95	$1,519.92	$7,735.71
United Facility/Professional Facility Modifier Low / Median / High Price $1,180.00 / $4,581.00 / $7,647.00	Facility		$1,180.00	$4,581.00	$7,647.00
United Facility/Professional Professional Modifier Low / Median / High Price $897.84 / $1,200.38 / $2,115.16	Professional		$897.84	$1,200.38	$2,115.16