Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,483.35 / $3,817.28 / $5,546.09	Facility		$1,483.35	$3,817.28	$5,546.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,772.85 / $3,817.28 / $4,565.14	Professional		$3,772.85	$3,817.28	$4,565.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,817.28 / $6,214.53 / $14,009.42	Facility		$3,817.28	$6,214.53	$14,009.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,817.28 / $3,817.28 / $3,817.28	Professional		$3,817.28	$3,817.28	$3,817.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,817.28 / $3,817.28 / $7,481.87	Facility		$3,817.28	$3,817.28	$7,481.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,601.20 / $3,601.20 / $3,817.28	Facility		$3,601.20	$3,601.20	$3,817.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,817.28 / $3,817.28 / $3,817.28	Professional		$3,817.28	$3,817.28	$3,817.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,857.70 / $4,627.00 / $7,168.00	Professional		$2,857.70	$4,627.00	$7,168.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,817.28 / $4,046.32 / $4,542.56	Professional		$3,817.28	$4,046.32	$4,542.56