Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,203.19 / $1,203.19 / $3,408.18	Facility		$1,203.19	$1,203.19	$3,408.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,203.19 / $1,661.54 / $2,179.28	Professional		$1,203.19	$1,661.54	$2,179.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,888.29 / $4,043.61 / $10,600.02	Facility		$2,888.29	$4,043.61	$10,600.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,539.85 / $2,401.57 / $4,611.01	Professional		$1,539.85	$2,401.57	$4,611.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,439.03 / $2,799.64 / $5,343.34	Facility		$2,439.03	$2,799.64	$5,343.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,455.05 / $2,455.05 / $2,455.05	Professional		$2,455.05	$2,455.05	$2,455.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,743.07 / $1,743.07 / $1,743.07	Facility		$1,743.07	$1,743.07	$1,743.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,272.44 / $1,272.44 / $3,818.25	Professional		$1,272.44	$1,272.44	$3,818.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,195.10 / $2,888.29 / $4,013.24	Professional		$2,195.10	$2,888.29	$4,013.24
United Facility/Professional Professional Modifier Low / Median / High Price $960.63 / $1,440.94 / $2,377.31	Professional		$960.63	$1,440.94	$2,377.31