Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,423.09 / $1,423.09 / $1,423.09	Facility		$1,423.09	$1,423.09	$1,423.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,423.09 / $1,831.50 / $2,671.41	Professional		$1,423.09	$1,831.50	$2,671.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $331.40 / $1,995.80 / $5,173.10	Professional		$331.40	$1,995.80	$5,173.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $190.38 / $443.05 / $2,810.58	Facility		$190.38	$443.05	$2,810.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $208.19 / $208.19 / $208.19	Professional		$208.19	$208.19	$208.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,576.44 / $2,576.44 / $2,576.44	Facility		$2,576.44	$2,576.44	$2,576.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $192.51 / $1,472.88 / $3,637.50	Professional		$192.51	$1,472.88	$3,637.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $836.03 / $1,464.33 / $3,082.80	Professional		$836.03	$1,464.33	$3,082.80
United Facility/Professional Professional Modifier Low / Median / High Price $123.25 / $340.03 / $3,077.37	Professional		$123.25	$340.03	$3,077.37