Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,735.00 / $3,735.00 / $3,735.00	Facility		$3,735.00	$3,735.00	$3,735.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,600.00 / $3,735.00 / $3,959.10	Professional		$3,600.00	$3,735.00	$3,959.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,068.75 / $6,750.24 / $15,217.07	Facility		$4,068.75	$6,750.24	$15,217.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,600.00 / $4,050.00 / $4,275.00	Professional		$3,600.00	$4,050.00	$4,275.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,825.00 / $3,937.50 / $7,678.35	Facility		$3,825.00	$3,937.50	$7,678.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,825.00 / $3,825.00 / $3,825.00	Facility		$3,825.00	$3,825.00	$3,825.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,825.00 / $3,825.00 / $3,825.00	Professional		$3,825.00	$3,825.00	$3,825.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,080.43 / $1,631.07 / $4,207.50	Professional		$1,080.43	$1,631.07	$4,207.50
United Facility/Professional Professional Modifier Low / Median / High Price $3,750.00 / $3,750.00 / $4,500.00	Professional		$3,750.00	$3,750.00	$4,500.00